Individual
DR. DEBRA L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
404 N CHESTNUT STREET, JOHNSON, KS 67855-0639
(620) 492-1400
(620) 492-1608
Mailing address
PO BOX 639, JOHNSON, KS 67855-0639
(620) 492-1400
(620) 492-1608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
108186
IA
363LF0000X
Family Nurse Practitioner
Primary
53-77305-031
KS
363LF0000X
Family Nurse Practitioner
A-108186
IA
Other
Enumeration date
07/01/2011
Last updated
07/16/2022
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