Individual provider · NPI-1

Coreen Ann Marie Anderson

Home Health Aide · Concord, NC

NPI number1124893748
StatusActive
Last updated in NPPESNov 24, 2023

Details

NPI
1124893748
Entity type
Individual (NPI-1)
Name
Coreen Ann Marie Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Nov 24, 2023
Certification date
Nov 24, 2023
Last updated
Nov 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

300 Perennial Dr Nw
Concord, NC 28027-7272

Phone 704-453-9649

Mailing address

19109 W Catawba Ave Ste 200
Cornelius, NC 28031-5614

Phone 704-453-9649 · Fax 704-247-7214

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