Individual
EMILY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
448 EAST 1ST STREET, SALIDA, CO 81201
(719) 207-1398
Mailing address
448 E 1ST ST, SALIDA, CO 81201-2804
(719) 207-1398
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
202109
CO
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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