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Individual

AMY N ANDERSON

Active
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Individual

AMY N ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28133507A
IN
363L00000X
Nurse Practitioner
71002674A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71002674A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000736742
ANTHEM PTAN
IN
05
200909040
IN
Enumeration date
07/15/2008
Last updated
02/07/2025
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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