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Individual

MRS. NANCY ANN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,CCC-A

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000955-1
NY
237600000X
Audiologist-Hearing Aid Fitter
14000010491
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000955-1
AUDIOLOGIST LICENSE NUMBER
NY
01
14000010491
HEARING AID DISPENSER
NY
Enumeration date
08/20/2008
Last updated
08/20/2008
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