Individual provider · NPI-1

Regina Anderson

Community Health Worker · Detroit, MI

NPI number1154188779
StatusActive
Last updated in NPPESFeb 29, 2024

Details

NPI
1154188779
Entity type
Individual (NPI-1)
Name
Regina Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Feb 29, 2024
Certification date
Feb 29, 2024
Last updated
Feb 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Other names

  • Regina Pitts (Former Name)

Practice location

12800 E Warren Ave
Detroit, MI 48215-2061

Phone 248-860-3726

Mailing address

12800 E Warren Ave
Detroit, MI 48215-2061

Phone 248-860-3726

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