Individual
MS. MICHELLE KAY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5825 E CALLE GUADALUPE, GUADALUPE, AZ 85283-2664
(602) 344-6000
(602) 344-6001
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN123217
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
536763
—
AZ
Enumeration date
07/16/2010
Last updated
09/15/2011
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