Individual
MYRA S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
Update your record
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