Individual
SHANDON WELLS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-C
Contact information
Practice address
2100 BAPTISTE DR, PAOLA, KS 66071-1314
(913) 294-2327
Mailing address
37540 CRESCENT HILL RD, OSAWATOMIE, KS 66064-5181
(913) 369-5200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
TMP-157777
KS
363LP2300X
Primary Care Nurse Practitioner
Primary
78535
KS
Other
Enumeration date
01/07/2019
Last updated
01/22/2019
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