Individual
ELISSA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2009026464
MO
Other
Enumeration date
12/12/2016
Last updated
03/20/2023
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