Anderson, Trudy Mae
Anderson, Trudy Mae is an individual health care provider with primary practice located at 1344 E Meadow Lane , Chino Valley AZ 86323-5749. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Anderson, Trudy Mae can be contacted via phone (928) 636-5541.Contact Information
Primary practice address
1344 E Meadow Lane
Chino Valley AZ 86323-5749
Phone: (928) 636-5541
Fax: (923) 636-7631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | Arizona |
Profile Details
| NPI number | 1336202936 |
|---|---|
| LBN Legal business name | Anderson, Trudy Mae |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1336202936 | NPPES |
| Arizona | Other | 719007 | STATE OF AZ |
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