| Doctor Name: | MISS ELIZABETH ANDERSON |
| NPI Number: | 1003255340 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCA |
| License Number: | A63489901 |
| Business Practice Address: | 5010 Unseld Blvd Louisville, KY - 402183836 |
| Business Phone Number: | 5024795699 |
| Business Fax Number: | |
| Mailing Address: | 3030 Kim Dr, NORTH CHESTERFIELD |
| State: | VA |
| Postal Code: | 232245643 |
| Phone Number: | 5024358295 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2013 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | A63489901 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |