Individual
MISS TINA MICHELLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11016072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15424361
CAQH
FL
Enumeration date
10/28/2021
Last updated
02/03/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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