Individual
KATHLEEN TIGUE ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4512 KIRKWOOD HIGHWAY, SUITE 202, WILMINGTON, DE 19808
(302) 999-0137
(302) 999-1042
Mailing address
4512 KIRKWOOD HWY, SUITE 202, WILMINGTON, DE 19808-5123
(302) 999-0137
(302) 999-1042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG0000293
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001127242
—
DE
Enumeration date
07/19/2006
Last updated
10/16/2014
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