Individual
MYRA S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
764 GREENWOOD SPRINGS DR APT 1208, GREENWOOD, IN 46143-6067
(765) 823-0896
Mailing address
764 GREENWOOD SPRINGS DR APT 1208, GREENWOOD, IN 46143-6067
(765) 823-0896
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28294798C
IN
164W00000X
Licensed Practical Nurse
27078540A
IN
374U00000X
Home Health Aide
HHA0201258
IN
376K00000X
Nurse's Aide
CNA0029787
IN
Other
Enumeration date
09/09/2024
Last updated
05/14/2025
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