NPI 1508401548 · live from the CMS NPI Registry
Chanda Richele Anderson, DNP
Nurse Practitioner, Family in Norfolk, NE. National Provider Identifier 1508401548, active.
NPI record
| NPI | 1508401548 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 3901 W Norfolk Ave, Norfolk, NE 68701 |
| Practice phone | 402-371-3939 |
| Mailing address | 632 E Willow St, Pierce, NE 68767 |
| Enumerated | November 13, 2019 |
| Last updated | November 13, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 113018 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.