Anderson, Marie Ann

Anderson, Marie Ann is an individual health care provider with primary practice located at 18 Ruth Ln , Selden NY 11784-1516. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Anderson, Marie Ann can be contacted via phone (631) 645-4051.

Contact Information

Primary practice address
18 Ruth Ln Selden NY 11784-1516
Phone: (631) 645-4051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 595381-1 New York

Profile Details

NPI number 1518140565
LBN Legal business name Anderson, Marie Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2007
Last updated Dec 13th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518140565 NPPES
New York MEDICAID 595381-1

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