Individual
JANIS KAY ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 DOUGLAS ST STOP 0030, OMAHA, NE 68179-1001
(402) 544-3697
(402) 501-0475
Mailing address
63 CRESTWOOD DR, COUNCIL BLUFFS, IA 51503-0201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
107712
IA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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