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Alexis Danielle Anderson, R.N

Registered Nurse in Upland, CA. Individual provider (NPI-1).

NPI number1689445249
StatusActive
Last updated in NPPESJan 12, 2024

Details

NPI
1689445249
Entity type
Individual (NPI-1)
Name
Alexis Danielle Anderson
Credential
R.N
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 12, 2024
Last updated
Jan 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse95236082CAYes
163WC1400X Registered Nurse, College Health95236082CA

Practice location

1311 Springfield Street
Apt. 106
Upland, CA 91786

Phone 319-371-0262

Mailing address

1311 Springfield Street
Apt. 106
Upland, CA 91786

Phone 319-371-0262

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