Doctor Name: | ELAINE F ANDERSON |
NPI Number: | 1578626594 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, BC |
License Number: | 169565 |
Business Practice Address: | 830 County Rd Pocasset, MA - 025592110 |
Business Phone Number: | 5085649614 |
Business Fax Number: | 5085649668 |
Mailing Address: | 2 Wilma's Way, HARWICH |
State: | MA |
Postal Code: | 02645 |
Phone Number: | 5084328899 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 169565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |