Provider Demographics
NPI:1538413125
Name:CARA, ANYA (RN)
Entity type:Individual
Prefix:MS
First Name:ANYA
Middle Name:
Last Name:CARA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1995 TEWKSBURY RD
Mailing Address - Street 2:APARTMENT 3
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-4264
Mailing Address - Country:US
Mailing Address - Phone:614-440-2272
Mailing Address - Fax:
Practice Address - Street 1:1995 TEWKSBURY RD
Practice Address - Street 2:APARTMENT 3
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-4264
Practice Address - Country:US
Practice Address - Phone:614-440-2272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-03
Last Update Date:2012-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 174985372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion