Individual
MRS. NANCY LEE ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1728 W MAIN ST, MESA, AZ 85201-6942
(480) 472-9359
(480) 472-9393
Mailing address
857 S STILTON, MESA, AZ 85208-7260
(480) 704-4010
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN072663
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
581183
—
AZ
Enumeration date
01/18/2007
Last updated
07/09/2007
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