Individual
LISA M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
25 MARKET ST STE 14, SWANSEA, MA 02777-3998
(401) 447-2272
Mailing address
25 MARKET ST STE 14, SWANSEA, MA 02777-3998
(401) 447-2272
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN224905
MA
Other
Enumeration date
03/26/2019
Last updated
09/06/2019
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