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Individual
MRS. KIM ANDERSON
Active
Individual
MRS. KIM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
209017385
IL
363LF0000X
Family Nurse Practitioner
28194001A
IN
363LF0000X
Family Nurse Practitioner
832075
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277001265
IL
Other
Enumeration date
06/10/2017
Last updated
04/20/2022
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