Provider Demographics
NPI:1245030576
Name:ANYONA, PETER N
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:N
Last Name:ANYONA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5466 CASTLEVIEW DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-2243
Mailing Address - Country:US
Mailing Address - Phone:952-688-1653
Mailing Address - Fax:
Practice Address - Street 1:5466 CASTLEVIEW DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-2243
Practice Address - Country:US
Practice Address - Phone:952-688-1653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program