Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTA ROWENA ANTHONY, ANP
Active Sole ProprietorDESTA ROWENA ANTHONY, ANP is a Adult Health Nurse Practitioner healthcare provider located in MANLIUS, New York. NPI 1093721102 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · MANLIUS, NY
Registration Details
- NPI Number
- 1093721102
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2006 (20.003245938923 yrs)
- Last Updated
- Nov 28, 2025
- License
-
F303332 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8241 PENSTOCK WAYMANLIUS, NY, 131049401Browse NY providers · Browse ZIP 13104
- Phone
- 3155591965
- Fax
- 8336060692
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Other Adult Health Nurse Practitioner Providers in MANLIUS, NY
| Name | Credential | NPI |
|---|---|---|
| MS. GERALDINE MARY DICOSIMO | M.S., R.N., C.S. | 1033325253 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.