Individual
MS. STEPHANIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNMSN
Contact information
Practice address
11 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 213-1780
(828) 213-1785
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-1780
(828) 213-1785
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007843
NC
363L00000X
Nurse Practitioner
7629
TN
363LP0200X
Pediatric Nurse Practitioner
5007843
NC
363LP0200X
Pediatric Nurse Practitioner
7629
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7629
LICENSE
TN
Enumeration date
05/09/2007
Last updated
03/07/2023
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