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Individual

ANN M ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
840 E HILL AVE, MOSES LAKE, WA 98837-2238
(509) 765-0216
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006365
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0165739
L&I
WA
01
314766
L&I POST 7/21/13
WA
05
9635459
WA
Enumeration date
06/30/2006
Last updated
01/03/2014
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