Anderson, Gretchen L

Anderson, Gretchen L is an individual health care provider with primary practice located at 3917 West Rd Suite A, Los Alamos NM 87544-2275. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Anderson, Gretchen L can be contacted via phone (505) 661-8900.

Contact Information

Primary practice address
3917 West Rd Suite A Los Alamos NM 87544-2275
Phone: (505) 661-8900
Fax: (505) 661-8961
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 102429 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-01819 New Mexico

Profile Details

NPI number 1871563536
LBN Legal business name Anderson, Gretchen L
Credentials RN, CS, MS(N),FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871563536 NPPES
Missouri MEDICAID 429664626

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