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-- JANIS KAY ANDERSEN --

Individual Provider (NPI-1) Active

Registered Nurse

Provider Information

NPI Number
1558469114
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
1400 DOUGLAS ST STOP 0030, OMAHA, NE, 681791001
Phone
(402) 544-3697
Fax
(402) 501-0475

Specialties & Taxonomies

Registered Nurse Primary License: IA #107712

All Addresses

MAILING

63 CRESTWOOD DR

COUNCIL BLUFFS, IA, 515030201

LOCATION

1400 DOUGLAS ST STOP 0030

OMAHA, NE, 681791001

(402) 544-3697