Individual
MARRET ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
36 COTTON TAIL CT, WADING RIVER, NY 11792-2187
(631) 375-7768
Mailing address
36 COTTON TAIL CT, WADING RIVER, NY 11792-2187
(631) 375-7768
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306587
NY
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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