Individual
MRS. AVERY KARYN ERICKSON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, FNP-C
Contact information
Practice address
24785 STEWART ST, LOMA LINDA, CA 92350-1721
(909) 558-4537
(909) 558-0433
Mailing address
PO BOX 313, LOMA LINDA, CA 92354-0313
(909) 800-3768
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
734395
CA
363LF0000X
Family Nurse Practitioner
Primary
95000231
CA
Other
Enumeration date
01/15/2014
Last updated
06/25/2015
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