# JUDITH A ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548258452
- **Gender:** F
- **Credential:** CPNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 22789 | CA | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 71002231A | IN | — |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 02/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200845120 | — | IN |