Anderson, Nabuchi Grace

Anderson, Nabuchi Grace is an sole proprietor health care provider with primary practice located at 15508 Willet Ct , Mascotte FL 34753-9102. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Other Service Providers / Community Health Worker is her primary health care specialty. Anderson, Nabuchi Grace can be contacted via phone (352) 255-6458.

Contact Information

Primary practice address
15508 Willet Ct Mascotte FL 34753-9102
Phone: (352) 255-6458
Fax: (352) 410-6118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH 11052 Florida

Profile Details

NPI number 1700134715
LBN Legal business name Anderson, Nabuchi Grace
Credentials MHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2012
Last updated Jul 30th, 2013 - 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 1700134715 NPPES
Florida MEDICAID 004444701
Florida MEDICAID 004444700

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