Individual
MS. CAROL J. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
150448
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351181
—
MA
01
—
123465
FALLON
MA
01
—
150488
CONNECTICARE
MA
01
—
NP1534
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/20/2006
Last updated
04/19/2013
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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