NPI 1104195833 · live from the CMS NPI Registry
Katie L. Anderson, PA
Physician Assistant in Plainfield, CT. National Provider Identifier 1104195833, active.
NPI record
| NPI | 1104195833 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1421 Lowes Way, Plainfield, CT 06374 |
| Practice phone | 860-317-4000 |
| Enumerated | December 27, 2011 |
| Last updated | November 3, 2017 |
| Sole proprietor | No |
| Other names | Katie Sandlin |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 2087 (TN) |
| Physician Assistant primary | 363A00000X | 3930 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.