Individual
ANN MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 RAEFORD RD, FAYETTEVILLE, NC 28304-3142
(910) 429-7226
Mailing address
1091 ETIQUETTE HALL WAY APT 203, FAYETTEVILLE, NC 28303-6028
(786) 514-2420
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11000407
FL
363LG0600X
Gerontology Nurse Practitioner
11000407
FL
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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