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Sara Jean Andersen

Nurse Practitioner in Los Alamos, NM. Individual provider (NPI-1).

NPI number1619706173
StatusActive
Last updated in NPPESSep 6, 2024

Details

NPI
1619706173
Entity type
Individual (NPI-1)
Name
Sara Jean Andersen
Sex
Female
Sole proprietor
No
Enumeration date
Jul 31, 2024
Certification date
Sep 6, 2024
Last updated
Sep 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner80408NMYes
163W00000X Registered Nurse80408NM
163W00000X Registered Nurse95168073CA

Practice location

3917 West Rd Ste A
Los Alamos, NM 87544-2292

Phone 505-661-8964

Mailing address

2101 Holly Ave
Escondido, CA 92027-2213

Phone 805-233-0296

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Other Nurse Practitioner providers in Los Alamos, NM

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