Individual
PHYLLIS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12124 HIGH TECH AVE, SUITE 300, ORLANDO, FL 32817-8373
(800) 300-5132
Mailing address
3550 GOODWYN RD, POWHATAN, VA 23139-5810
(804) 598-3916
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001104850
VA
Other
Enumeration date
03/23/2014
Last updated
03/23/2014
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