Individual
NANCY CHRISTINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
5177 MCCARTY LN FL 2, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14315-33
WI
363LF0000X
Family Nurse Practitioner
71001618A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336490
ANTHEM PROVIDER NUMBER
IN
01
—
000001156692
ANTHEM PROVIDER NUMBER
IN
05
—
100236405
—
WI
05
—
200457590
—
IN
01
—
9397610
PHCS PID NUMBER
IN
Enumeration date
03/20/2006
Last updated
05/04/2026
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