Individual
MRS. SENNIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
741 NE 6TH ST, GRANTS PASS, OR 97526-1556
(541) 471-2701
(541) 471-1166
Mailing address
1701 NE 7TH ST, GRANTS PASS, OR 97526-1319
(541) 471-2701
(541) 471-1166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
096006589N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082946
—
OR
Enumeration date
03/29/2006
Last updated
01/24/2024
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