Elizabeth Renae Anderson
Peer Specialist in Fargo, ND. Individual provider (NPI-1).
NPI number1528795473
StatusActive
Last updated in NPPESAug 2, 2022
Details
- NPI
- 1528795473
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Renae Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2022
- Certification date
- Aug 2, 2022
- Last updated
- Aug 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 00000 | ND | Yes |
Practice location
101 8th St SFargo, ND 58103-1822
Phone 701-532-0563
Mailing address
325 7th St SFargo, ND 58103-1846
Phone 701-409-5083
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