NPI 1407097819 · live from the CMS NPI Registry
Nina Fay Anderson, FNP-BC
Nurse Practitioner, Family in Wilmington, DE. National Provider Identifier 1407097819, active.
NPI record
| NPI | 1407097819 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 4011 N, Market Street, Wilmington, DE 19802 |
| Practice phone | 302-762-0200 |
| Mailing address | 213 Greenhill Ave, Ste B, Wilmington, DE 19805 |
| Enumerated | March 13, 2009 |
| Last updated | April 27, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | LJ-0000230 (DE) |
| Nurse Practitioner, Pediatrics | 363LP0200X | sp007751 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.