Doctor Name: | MRS. SYLVIA ANDERSON |
NPI Number: | 1083790539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 1-030342 |
Business Practice Address: | 121 N 20th St #6 Opelika, AL - 368015449 |
Business Phone Number: | 3347493385 |
Business Fax Number: | 3347457672 |
Mailing Address: | Po Box 2527, OPELIKA |
State: | AL |
Postal Code: | 368032527 |
Phone Number: | 3347493385 |
Fax Number: | 3347457672 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 1-030342 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |