Individual
KAITLYN ELIZABETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1414 PHYSICIANS DR, WILMINGTON, NC 28401-7335
(800) 733-1476
Mailing address
9488 NIGHT HARBOR DR, LELAND, NC 28451-9594
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5018564
NC
Other
Enumeration date
07/31/2023
Last updated
07/31/2025
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