NPI 1730312802 · live from the CMS NPI Registry
Andrea Lee Anderson, NP
Nurse Practitioner in Aurora, CO. National Provider Identifier 1730312802, active.
NPI record
| NPI | 1730312802 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 2500 S Havana St, Aurora, CO 80014 |
| Practice phone | 303-338-4545 |
| Mailing address | 10350 E Dakota Ave, Denver, CO 80247 |
| Enumerated | August 24, 2009 |
| Last updated | April 17, 2023 |
| Sole proprietor | No |
| Other names | Andrea Self |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 10032 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.