Individual
BRENDA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1818 E. WINDSOR ROAD, ADULT MEDICINE/GERIATRICS, URBANA, IL 61802
(217) 255-9946
(217) 255-9650
Mailing address
611 W. PARK ST., URBANA, IL 61801-2500
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209001373
IL
Other
Enumeration date
10/17/2006
Last updated
05/08/2014
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