KELLY MARIE ANDERSON

COLUMBUS, IN
NPI1184255408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71010494A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28216712A)
Enumeration Date2020-01-27
Last Update Date2022-12-21
Business Address
KELLY MARIE ANDERSON APRN
2502 25TH ST
COLUMBUS, IN 47201-3728
Phone number: 812-372-8883
Mailing Address
KELLY MARIE ANDERSON APRN
PO BOX 775383
CHICAGO, IL 60677-5383
Phone number: 812-376-3515