Individual
MARYANN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP ADULT NURSE PRAC
Contact information
Practice address
HOST HEALTHCARE, 7676 HAZARD CENTER DRIVE #500, SAN DIEGO, CA 92108
(800) 585-1299
Mailing address
353 NIAGARA STREET, UPPER, NORTH TONAWANDA, NY 14120
(716) 289-0068
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309005
NY
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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