Individual provider · NPI-1

Melissa Anderson

Nurse Practitioner, Family · Albany, GA

NPI number1073902896
StatusActive
Last updated in NPPESJan 16, 2015

Details

NPI
1073902896
Entity type
Individual (NPI-1)
Name
Melissa Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Jan 16, 2015
Last updated
Jan 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN162737GAYes

Practice location

804 13th Ave
Albany, GA 31701-1328

Phone 229-438-5864

Mailing address

Po Box 72105
Albany, GA 31708-2105

Is something wrong?

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