Individual
NANCY JO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 UNITY PL STE 345, LAFAYETTE, IN 47905-5761
(765) 446-5111
Mailing address
1345 UNITY PL STE 345, LAFAYETTE, IN 47905-5761
(765) 446-5111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71011925A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011925A
IN
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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