Individual
MRS. BRANDI DAWN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
310 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2921
(870) 508-7080
Mailing address
310 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2921
(870) 508-7080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2011001819
MO
363LF0000X
Family Nurse Practitioner
Primary
A03275 ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179911758
—
AR
Enumeration date
08/10/2009
Last updated
05/12/2021
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