NPI 1346639283 · live from the CMS NPI Registry
Shelly Dawn Anderson, DNP APRN, CNP
Nurse Practitioner, Family in Poteau, OK. National Provider Identifier 1346639283, active.
NPI record
| NPI | 1346639283 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 2104 N Broadway St, Unit A, Poteau, OK 74953 |
| Practice phone | 918-564-2726 |
| Mailing address | 2104 N Broadway St Unit A, Poteau, OK 74953 |
| Enumerated | January 15, 2015 |
| Last updated | August 19, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 88955 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.