Provider Demographics
NPI:1760272256
Name:TEVES, ANTHONY WINES (RN, BSN)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:WINES
Last Name:TEVES
Suffix:
Gender:
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 HARVEST WAY
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1538
Mailing Address - Country:US
Mailing Address - Phone:848-223-3450
Mailing Address - Fax:
Practice Address - Street 1:268 CALHOUN ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8906
Practice Address - Country:US
Practice Address - Phone:843-792-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR19355300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse