Provider Demographics
NPI:1730992884
Name:RESPRESS, ANTANETE
Entity type:Individual
Prefix:
First Name:ANTANETE
Middle Name:
Last Name:RESPRESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT HARBOR
Mailing Address - State:OH
Mailing Address - Zip Code:44077-5635
Mailing Address - Country:US
Mailing Address - Phone:408-713-8912
Mailing Address - Fax:
Practice Address - Street 1:521 HIGH ST
Practice Address - Street 2:
Practice Address - City:FAIRPORT HARBOR
Practice Address - State:OH
Practice Address - Zip Code:44077-5635
Practice Address - Country:US
Practice Address - Phone:408-713-8912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide