ANDREA J ANDERSON

COUNCIL BLUFFS, IA
NPI1427616986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IA  A154365)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: NE  112780)
Enumeration Date2019-05-30
Last Update Date2023-02-10
Business Address
ANDREA J ANDERSON
1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503-4658
Phone number: 717-322-4136
Mailing Address
ANDREA J ANDERSON
8632 S 99TH CIR
LA VISTA, NE 68128-7009
Phone number: