| NPI | 1164849865 |
|---|---|
| Former Name | BECKY L ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 202201769NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 073384-23) |
| 363L00000X Nurse Practitioner (Licence: CT 113681) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 5683) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2022-06-07 |