Individual
MARTHA ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 SCHOOL ST, BASTROP, LA 71220-5048
(318) 283-0806
Mailing address
650 SCHOOL ST, BASTROP, LA 71220-5048
(318) 283-0806
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN106242
LA
Other
Enumeration date
06/15/2012
Last updated
06/21/2012
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