Individual
INNA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2745 REBECCA LN, ORANGE CITY, FL 32763-8333
(386) 775-2012
(386) 775-2013
Mailing address
2745 REBECCA LN, ORANGE CITY, FL 32763-8333
(386) 775-2012
(386) 775-2013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3283282
FL
Other
Enumeration date
01/25/2016
Last updated
01/09/2021
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