Doctor Name: | MR. KURT ALBIN ANDERSON |
NPI Number: | 1457691958 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MBA, MSN, APN, NP-C |
License Number: | 26NJ00418600 |
Business Practice Address: | 12 Edwards Ct Little Egg Harbor Twp, NJ - 080873643 |
Business Phone Number: | 6092967945 |
Business Fax Number: | |
Mailing Address: | Po Box 1123, TUCKERTON |
State: | NJ |
Postal Code: | 080875123 |
Phone Number: | 6092967945 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2013 |
NPI Last Update Date: | 02/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00418600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |