NPI 1427616986 · live from the CMS NPI Registry
Andrea J Anderson
Nurse Practitioner in Council Bluffs, IA. National Provider Identifier 1427616986, active.
NPI record
| NPI | 1427616986 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1 Edmundson Pl Ste 100, Council Bluffs, IA 51503 |
| Practice phone | 717-322-4136 |
| Mailing address | 8632 S 99th Cir, La Vista, NE 68128 |
| Enumerated | May 30, 2019 |
| Last updated | February 10, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 112780 (NE) |
| Nurse Practitioner primary | 363L00000X | A154365 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.