Individual
ROBIN J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-3027
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 727-4789
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704191669
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI1763016
MEDICARE PTAN
MI
Enumeration date
02/08/2007
Last updated
04/02/2014
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