Provider Demographics
NPI:1700590445
Name:RUMPH, ANTONYIA LEE QUINN (BSN)
Entity type:Individual
Prefix:MRS
First Name:ANTONYIA
Middle Name:LEE QUINN
Last Name:RUMPH
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3721 ANTRIM PL
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-0201
Mailing Address - Country:US
Mailing Address - Phone:336-419-6647
Mailing Address - Fax:
Practice Address - Street 1:3721 ANTRIM PL
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-0201
Practice Address - Country:US
Practice Address - Phone:336-419-6647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29840008163WI0500X, 163WX0106X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WX0106XNursing Service ProvidersRegistered NurseOccupational Health