NPI 1083071906 · live from the CMS NPI Registry
Robin Rae Anderson, APRN
Nurse Practitioner in Ada, OK. National Provider Identifier 1083071906, active.
NPI record
| NPI | 1083071906 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1023 Arlington St, Ada, OK 74820 |
| Practice phone | 580-436-4400 |
| Enumerated | January 22, 2016 |
| Last updated | January 24, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0089088 (OK) |
| Nurse Practitioner primary | 363L00000X | 89088 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.