NPI 1962978460 · live from the CMS NPI Registry
Lane A Anderson, MSN RN PPCNP-BC CPN
Nurse Practitioner, Pediatrics in Wichita Falls, TX. National Provider Identifier 1962978460, active.
NPI record
| NPI | 1962978460 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 4420 Kimbell Dr, Wichita Falls, TX 76302 |
| Practice phone | 940-696-1600 |
| Mailing address | 200 Mlk Jr Blvd, Wichita Falls, TX 76301 |
| Enumerated | October 23, 2018 |
| Last updated | October 23, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | AP139415 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.