Individual
MS. MARY LOU ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
320 E FONTANERO ST, COLORADO SPRINGS, CO 80907-7529
(719) 327-5660
(719) 866-6239
Mailing address
320 E FONTANERO ST, COLORADO SPRINGS, CO 80907-7529
(719) 327-5660
(719) 866-6239
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113498
CO
Other
Enumeration date
01/27/2006
Last updated
09/25/2009
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