| Doctor Name: | MARRET ANDERSON |
| NPI Number: | 1659785335 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 306587 |
| Business Practice Address: | 36 Cotton Tail Ct Wading River, NY - 117922187 |
| Business Phone Number: | 6313757768 |
| Business Fax Number: | |
| Mailing Address: | 36 Cotton Tail Ct, WADING RIVER |
| State: | NY |
| Postal Code: | 117922187 |
| Phone Number: | 6313757768 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2014 |
| NPI Last Update Date: | 06/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 306587 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |