Anderson, Mary Ellen

Anderson, Mary Ellen is an individual health care provider with primary practice located at 1201 Pleasant Valley Rd , Owensboro KY 42303-9811. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Anderson, Mary Ellen can be contacted via phone (270) 417-5911.

Contact Information

Primary practice address
1201 Pleasant Valley Rd Owensboro KY 42303-9811
Phone: (270) 417-5911
Fax: (270) 417-6497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4690P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004690 Kentucky

Profile Details

NPI number 1598865347
LBN Legal business name Anderson, Mary Ellen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Sep 9th, 2022 - about 4 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 1598865347 NPPES
Kentucky Other 000000845568 ANTHEM
Kentucky Other P01351973 ANTHEM
Kentucky MEDICAID 7100235010 ANTHEM

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