Individual
CIERA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 WADSWORTH TER APT D, NEW YORK, NY 10040-3072
(917) 627-2664
Mailing address
64 WADSWORTH TER APT D, NEW YORK, NY 10040-3072
(917) 627-2664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
904244
NY
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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