Anderson, Judi L
Anderson, Judi L is an individual health care provider with primary practice located at 512 Main Ave , Lake Norden SD 57248-0079. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Judi L can be contacted via phone (605) 785-3633.Contact Information
Primary practice address
512 Main Ave
Lake Norden SD 57248-0079
Phone: (605) 785-3633
Fax: (605) 785-3946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R031664 | South Dakota |
Profile Details
| NPI number | 1801875265 |
|---|---|
| LBN Legal business name | Anderson, Judi L |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | May 8th, 2008 - about 17 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 | 1801875265 | NPPES |
| South Dakota | MEDICAID | 5300462 |
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