| Doctor Name: | MRS. SUE ANN ANDERSON |
| NPI Number: | 1265507750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,APRN, BC, FNP |
| License Number: | 71000394A |
| Business Practice Address: | 209 Florence Ave Granger, IN - 465308048 |
| Business Phone Number: | 5742461000 |
| Business Fax Number: | 5742464000 |
| Mailing Address: | 52130 S Lakeshore Dr, GRANGER |
| State: | IN |
| Postal Code: | 465307843 |
| Phone Number: | 5742739313 |
| Fax Number: | 5742736261 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 04/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71000394A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |