Individual
LISA VERNON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2948 W EAGLE RIDGE LOOP, CEDAR CITY, UT 84720-5006
(435) 592-2771
(435) 586-2727
Mailing address
2948 W EAGLE RIDGE LOOP, CEDAR CITY, UT 84720-5006
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
351698-4405
UT
Other
Enumeration date
06/21/2023
Last updated
08/10/2023
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