Courtney Ann Anderson, APRN
Nurse Practitioner, Family in Rockford, IL. Individual provider (NPI-1).
NPI number1457116246
StatusActive
Last updated in NPPESFeb 20, 2024
Details
- NPI
- 1457116246
- Entity type
- Individual (NPI-1)
- Name
- Courtney Ann Anderson
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2024
- Certification date
- Feb 20, 2024
- Last updated
- Feb 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209028974 | IL | Yes |
Practice location
3057 N Perryville RdRockford, IL 61114-8016
Phone 887-448-3627
Mailing address
7146 Laurel Cherry DrRockford, IL 61108-4427
Phone 815-979-6576
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