Doctor Name: | GINGER ANDERSON |
NPI Number: | 1639559412 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN CNP |
License Number: | R 0098200 |
Business Practice Address: | 407 N Clarence Nash Blvd Watonga, OK - 737723636 |
Business Phone Number: | 5806234954 |
Business Fax Number: | 5806234980 |
Mailing Address: | 407 N Clarence Nash Blvd, WATONGA |
State: | OK |
Postal Code: | 737723636 |
Phone Number: | 5806234954 |
Fax Number: | 5806234980 |
NPI Enumeration Date: | 06/05/2015 |
NPI Last Update Date: | 06/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R 0098200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |