ANDREA J ANDERSON
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1427616986- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1 EDMUNDSON PL STE 100, COUNCIL BLUFFS, IA, 515034658
- Phone
- (717) 322-4136
- Fax
- (717) 322-8129
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
License: NE #112780
Nurse Practitioner
Primary License: IA #A154365
All Addresses
MAILING
8632 S 99TH CIR
LA VISTA, NE, 681287009