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Brenda Anderson, LPN

Licensed Practical Nurse in Roseburg, OR. Individual provider (NPI-1).

NPI number1669924403
StatusActive
Last updated in NPPESOct 27, 2016

Details

NPI
1669924403
Entity type
Individual (NPI-1)
Name
Brenda Anderson
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 27, 2016
Last updated
Oct 27, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse098005064LPNORYes

Practice location

2700 Nw Stewart Pkwy
Roseburg, OR 97471-1281

Phone 541-440-3532

Mailing address

1600 Nw Garden Valley Blvd
Suite 110
Roseburg, OR 97471-8700

Phone 541-440-3532

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