Desta Rowena Anthony
ANP | Nurse Practitioner - Adult Health | 25+ years Exp
8241 Penstock Way, Manlius
New York, 13104-9401
315-559-1965
Accepts Medicare Nurse Anesthetist in Manlius, New York.Desta Rowena Anthony is a Manlius, New York based nurse practitioner with 25 years of experience in Adult Health. She completed her graduation in 2001. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Desta Rowena Anthony is F303332 for Adult Health in New York. Her current practice location is 8241 Penstock Way, Manlius. Patients can reach her at 315-559-1965 or can fax her at 833-606-0692. Desta Rowena Anthony is ANP with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1093721102.
Desta Rowena Anthony can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Desta Rowena Anthony speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Desta Rowena Anthony |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | ANP |
| Experience: | 25+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2001 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 8241 Penstock Way, Manlius, New York, 13104-9401 |
| Phone: | 315-559-1965 |
| Fax: | 833-606-0692 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6002906161 |
| Enrollment ID: | I20071213000490 |
| NPI Number: | 1093721102 |
| NPI Enumeration Date: | 31 Jul, 2006 |
| NPI Last Update On: | 28 Nov, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Desta Rowena Anthony are as mentioned below.
| License Number | Specialization | State | Status | |
| F303332 | Adult Health | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Desta Rowena Anthony such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02207207 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Desta Rowena Anthony 8241 Penstock Way, Manlius, New York |
| Zip: | 13104-9401 |
| Phone Number: | 315-559-1965 |
| Fax Number: | 833-606-0692 |
Patients can reach Desta Rowena Anthony at
8241 Penstock Way, Manlius, New York or can
call to book an appointment on 315-559-1965.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.