Individual
MRS. JANICE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
29547 HWY 11, HWY 23 4TH FLOOR SUITE C, PORT SULPHUR, LA 70083-7008
(504) 417-4329
Mailing address
29547 HIGHWAY 11, PORT SULPHUR, LA 70083-3039
(504) 417-4329
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
86-3845506
LA
171W00000X
Contractor
Primary
86-3845506
LA
374U00000X
Home Health Aide
86-3845506
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11386651
CNA
LA
Enumeration date
07/23/2021
Last updated
08/05/2021
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