| Doctor Name: | MRS. ANN M ANDERSON |
| NPI Number: | 1104949312 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N.,IBCLC |
| License Number: | 26NR04602700 |
| Business Practice Address: | 139 Garfield St Haworth, NJ - 076411911 |
| Business Phone Number: | 2013853423 |
| Business Fax Number: | |
| Mailing Address: | 139 Garfield St, HAWORTH |
| State: | NJ |
| Postal Code: | 076411911 |
| Phone Number: | 2013853423 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | 26NR04602700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |