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Individual
MRS. ANN M ANDERSON
Active
Individual
MRS. ANN M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21836.1074
WY
363LF0000X
Family Nurse Practitioner
40468
NE
363LF0000X
Family Nurse Practitioner
82977
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00538809
—
CO
05
—
119260400
—
WY
Enumeration date
06/23/2005
Last updated
11/11/2025
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