Individual
CARRIE L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
626 N ED CAREY DR, HARLINGEN, TX 78550-7912
(956) 428-4868
(956) 622-3176
Mailing address
626 N ED CAREY DR, HARLINGEN, TX 78550-7912
(956) 428-4868
(956) 622-3176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
690906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193290701
—
TX
01
—
8Y5000
BCBSTX
TX
Enumeration date
09/11/2007
Last updated
08/09/2011
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