# LEAH ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1679024541
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | 02246 | RI | — |
| 363LP2300X | Primary Care Nurse Practitioner | 081611-23 | NH | — |
| 363LP2300X | Primary Care Nurse Practitioner | 12.006741 | CT | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | CNP191291 | ME | — |
| 363LP2300X | Primary Care Nurse Practitioner | F309504-01 | NY | — |

## Other

- **Enumeration date:** 10/17/2016
- **Last updated:** 12/08/2020