Individual
MARY DENEEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
13 AEGINA DR, TINLEY PARK, IL 60477-4835
(773) 573-3503
Mailing address
13 AEGINA DR, TINLEY PARK, IL 60477-4835
(773) 573-3503
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.024792
IL
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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