Kelly Anderson, RN
Registered Nurse, Psych/Mental Health, Adult in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1295583979
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1295583979
- Entity type
- Individual (NPI-1)
- Name
- Kelly Anderson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2024
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | RN95245715 | CA | Yes |
Practice location
13030 Colonial DrRancho Cucamonga, CA 91739-8866
Phone 310-367-6963
Mailing address
13030 Colonial DrRancho Cucamonga, CA 91739-8866
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