Anderson, Tenika

Anderson, Tenika is an individual health care provider with primary practice located at 1638 Owen Dr , Fayetteville NC 28304-3424. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Anderson, Tenika can be contacted via phone (910) 615-5132.

Contact Information

Primary practice address
1638 Owen Dr Fayetteville NC 28304-3424
Phone: (910) 615-5132
Fax: (910) 321-6236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 175747 North Carolina

Profile Details

NPI number 1790098929
LBN Legal business name Anderson, Tenika
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2010
Last updated Feb 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790098929 NPPES
North Carolina MEDICAID 8053841

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