Individual provider · NPI-1
Edith Anderson
Case Manager/Care Coordinator · Fargo, ND
NPI number1093421083
StatusActive
Last updated in NPPESApr 19, 2024
Details
- NPI
- 1093421083
- Entity type
- Individual (NPI-1)
- Name
- Miss Edith Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2023
- Certification date
- Apr 19, 2024
- Last updated
- Apr 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 172A00000X | Driver | – | ND |
Practice location
222 4th St NFargo, ND 58102-4818
Phone 701-595-9941
Mailing address
222 4th St NFargo, ND 58102-4818
Phone 701-595-9941
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