Individual
TODD CHRISTOPHER ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
105 JACKSON STREET, CABOT, AR 72023-3058
(501) 941-3522
(501) 941-3525
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004077
AR
363LF0000X
Family Nurse Practitioner
ATP-000613
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202081758
—
AR
Enumeration date
01/31/2014
Last updated
03/07/2024
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