Kathleen Marie Anderson, NP
Nurse Practitioner in Richmond, VA. Individual provider (NPI-1).
NPI number1104157650
StatusActive
Last updated in NPPESOct 2, 2014
Details
- NPI
- 1104157650
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Marie Anderson
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2010
- Last updated
- Oct 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024164345 | VA | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 0024164345 | VA |
Practice location
2300 Dumbarton RdRichmond, VA 23228-6014
Phone 804-874-7949
Mailing address
Po Box 693Midlothian, VA 23113-0693
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