Individual
MS. TRUDY MAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1344 E MEADOW LANE, CHINO VALLEY, AZ 86323-5749
(928) 636-5541
(923) 636-7631
Mailing address
PO BOX 1140, CHINO VALLEY, AZ 86323-1140
(928) 636-5541
(923) 636-7631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
719007
STATE OF AZ
AZ
Enumeration date
12/18/2006
Last updated
07/08/2007
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