Individual
CATINA LOUISE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A-GNP -C
Contact information
Practice address
304 S 29TH ST, CHICKASHA, OK 73018-2501
(405) 896-8058
(855) 223-1999
Mailing address
50 S B B KING BLVD # 100, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R0064950
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811548894
NPI
OK
Enumeration date
09/22/2019
Last updated
07/13/2022
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