Individual
MRS. GINA LEANNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3450 E FRANK PHILLIPS BLVD STE 200, BARTLESVILLE, OK 74006-2401
(918) 331-2445
(918) 331-2498
Mailing address
3450 E FRANK PHILLIPS BLVD STE 200, BARTLESVILLE, OK 74006-2401
(918) 331-2445
(918) 331-2498
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Q42098
KS
363LF0000X
Family Nurse Practitioner
Primary
125117
OK
363LF0000X
Family Nurse Practitioner
45682
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161483
BLUE CROSS BLUE SHIELD
KS
05
—
200312350A
—
KS
01
—
925398
FIRST GUARD
KS
01
—
P00271606
RAILROAD MEDICARE
KS
Enumeration date
07/13/2006
Last updated
01/13/2020
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