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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871563536 | NPPES |
| Missouri | MEDICAID | 429664626 |
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