Individual
MRS. KELLY JULENE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP-C
Contact information
Practice address
105 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-6960
Mailing address
105 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-6960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60122547
WA
Other
Enumeration date
01/25/2010
Last updated
04/05/2021
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