Individual
SUSAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2739 SUNRIDGE HEIGHTS PKWY STE 100, HENDERSON, NV 89052-5043
(702) 553-3635
(833) 973-5084
Mailing address
2739 SUNRIDGE HEIGHTS PKWY STE 100, HENDERSON, NV 89052-5043
(702) 553-3635
(833) 973-5084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
813670
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790428712
—
NV
01
—
813670
STATE LICENSE
NV
Enumeration date
04/18/2022
Last updated
05/29/2025
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