NPI 1649656125 · live from the CMS NPI Registry
Carmon Anderson, NP
Nurse Practitioner in Ardmore, OK. National Provider Identifier 1649656125, active.
NPI record
| NPI | 1649656125 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1011 14th Ave Nw, Ardmore, OK 73401 |
| Practice phone | 580-220-6658 |
| Enumerated | August 6, 2015 |
| Last updated | March 6, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 56857 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.