Individual
CLARISSA A ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4113 N 174TH AVE, OMAHA, NE 68116-3093
(402) 871-4224
Mailing address
4113 N 174TH AVE, OMAHA, NE 68116-3093
(402) 871-4224
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
68115
NE
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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