| Doctor Name: | MRS. AMORETTE LEANN ANDERSON |
| NPI Number: | 1205025046 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 999 |
| Business Practice Address: | 234 Lake St Roscommon, MI - 486539203 |
| Business Phone Number: | 9892751200 |
| Business Fax Number: | 9892751210 |
| Mailing Address: | 234 Lake St, ROSCOMMON |
| State: | MI |
| Postal Code: | 486539203 |
| Phone Number: | 9892751200 |
| Fax Number: | 9892751210 |
| NPI Enumeration Date: | 10/17/2007 |
| NPI Last Update Date: | 11/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 999 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |