Individual
MS. NINA JEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RNP, APRN-BC
Contact information
Practice address
8145 HOLLOW RIDGE RD, FLAGSTAFF, AZ 86004-6407
(928) 714-1818
(928) 714-1818
Mailing address
8145 HOLLOW RIDGE RD, FLAGSTAFF, AZ 86004-6407
(928) 714-1818
(928) 714-1818
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
16903
AK
363LA2200X
Adult Health Nurse Practitioner
418
AK
363LA2200X
Adult Health Nurse Practitioner
RN134507
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
RNP 2505
AZ
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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