Individual
GEORGIANN L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 581-5884
Mailing address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 581-5884
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
070385
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070385
RN LICENSE
MO
Enumeration date
10/18/2016
Last updated
10/18/2016
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