Individual
MRS. SUSAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN
Contact information
Practice address
1232 E BROADWAY RD, STE 120, TEMPE, AZ 85282
(480) 784-1514
(480) 967-3528
Mailing address
1232 E BROADWAY RD, STE 120, TEMPE, AZ 85282
(480) 784-1514
(480) 967-3528
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP1468
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1468
BOARD OF NURSING
AZ
01
—
RN063820
BOARD OF NURSING
AZ
Enumeration date
04/22/2006
Last updated
02/16/2012
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