Individual
DEBBIE C. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
748 14TH AVE, LONGVIEW, WA 98632-2315
(360) 501-3601
(360) 501-3648
Mailing address
PO BOX 249, LONGVIEW, WA 98632-7154
(360) 414-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00119013
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30005930
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190597
LABOR & IND.
WA
05
—
231477
—
OR
01
—
8939247
CRIME VICTIMS
WA
05
—
9642646
—
WA
01
—
P00158068
RAILROAD MEDICARE
—
Enumeration date
06/30/2005
Last updated
11/14/2007
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