Individual
CAROL LOUISE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
109 W 11TH ST, NELIGH, NE 68756-1065
(402) 887-5440
Mailing address
PO BOX 109, NELIGH, NE 68756-0109
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
30226
NE
363LG0600X
Gerontology Nurse Practitioner
Primary
111246
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81051
BCBS NUMBER
NE
Enumeration date
02/06/2007
Last updated
08/25/2011
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