Individual
ROBIN RAE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1023 ARLINGTON ST, ADA, OK 74820-4042
(580) 436-4400
Mailing address
1023 ARLINGTON ST, ADA, OK 74820-4042
(580) 436-4400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0089088
OK
363L00000X
Nurse Practitioner
Primary
89088
OK
Other
Enumeration date
01/22/2016
Last updated
01/24/2020
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