Individual
DR. CONSTANCE L. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1320 MAPLEWOOD AVE STE A, RONCEVERTE, WV 24970-8016
(304) 647-5114
Mailing address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1731
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029222002
CIGNA
WV
01
—
045
MTST BCBS
WV
01
—
141471
SOUTHERN HEALTH
WV
01
—
299233
AETNA
WV
01
—
441905
ANTHEM BCBS
WV
01
—
5279784
FIRST HEALTH
WV
05
—
5630339000
—
WV
01
—
80170802
RAILROAD MEDICARE
WV
Enumeration date
07/17/2006
Last updated
03/30/2026
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