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Individual

MR. MICHAEL ANDERSON I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
2650 N TENAYA WAY STE 208, LAS VEGAS, NV 89128-1104
(702) 360-2100
(702) 360-3201
Mailing address
12700 PARK CENTRAL DR STE 1210, DALLAS, TX 75251-1522
(702) 360-2763

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1118851
TX
363LF0000X
Family Nurse Practitioner
Primary
843338
CA

Other

Enumeration date
08/21/2018
Last updated
04/16/2025
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