Doctor Name: | MRS. VERA ROSE 'ANDERSON |
NPI Number: | 1295889665 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, BC, CS |
License Number: | 199429 |
Business Practice Address: | 2731 Nugget Ave Lake Isabella, CA - 932402632 |
Business Phone Number: | 7603793412 |
Business Fax Number: | |
Mailing Address: | Po Box 347, KERNVILLE |
State: | CA |
Postal Code: | 932380347 |
Phone Number: | 7603763662 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 199429 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |