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Individual
ANN M ANDERSEN
Active
Individual
ANN M ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006365
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165739
L&I
WA
01
—
314766
L&I POST 7/21/13
WA
05
—
9635459
—
WA
Enumeration date
06/30/2006
Last updated
01/03/2014
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