NPI 1063681815 · live from the CMS NPI Registry
Angela Andersen, APRN
Nurse Practitioner in Pensacola, FL. National Provider Identifier 1063681815, active.
NPI record
| NPI | 1063681815 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1717 N E St Ste 331, Pensacola, FL 32501 |
| Practice phone | 850-484-6500 |
| Mailing address | 988095 Nebraska Medical Ctr, Omaha, NE 68198 |
| Enumerated | February 26, 2008 |
| Last updated | March 25, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 9494670 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.