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MRS. ANN M ANDERSON N.P.

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1700882792

Individual Registrant:
MRS. ANN M ANDERSON N.P.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2301 HOUSE AVE SUITE 301 CHEYENNE, WY 82001-3176 US
Tel: 307-637-1600  Fax: 307-637-1694

Contact information for business:
505 S BURG ST  KIMBALL, NE 69145-1313 US
Tel: 307-245-3666  Fax: 307-245-3656

Registration Information:
NPI: 1700882792
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
WY21836.1074
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CO82977
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
NE40468

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00538809CO05
119260400WY05




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