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Angelica Anderson, APRN

Nurse Practitioner, Family in Lebanon, KY. Individual provider (NPI-1).

NPI number1619709078
StatusActive
Last updated in NPPESSep 10, 2026

Details

NPI
1619709078
Entity type
Individual (NPI-1)
Name
Angelica Anderson
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Aug 15, 2024
Certification date
Sep 10, 2026
Last updated
Sep 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4026321KYYes
363LP2300X Nurse Practitioner, Primary Care4026321KY

Practice location

105 Village Way
Lebanon, KY 40033-1845

Phone 731-394-1145

Mailing address

546 Clell Mattingly Rd
Raywick, KY 40060-7573

Phone 270-295-1010

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Other Family Nurse Practitioner providers in Lebanon, KY

All 22 Family Nurse Practitioner providers in Lebanon · All 277 providers in Lebanon

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