Individual
CARLA NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
333 BRIDGE ST NW STE 815, GRAND RAPIDS, MI 49504-5365
(517) 862-1064
Mailing address
333 BRIDGE ST NW STE 815, GRAND RAPIDS, MI 49504-5365
(517) 862-1064
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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