Individual provider · NPI-1

Iyana Anderson

Case Manager/Care Coordinator · Newark, NJ

NPI number1750160990
StatusActive
Last updated in NPPESSep 27, 2023

Details

NPI
1750160990
Entity type
Individual (NPI-1)
Name
Iyana Anderson
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 27, 2023
Certification date
Sep 26, 2023
Last updated
Sep 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator44SL06665900NJYes

Practice location

183 S Orange Ave
Newark, NJ 07103-2757

Phone 973-972-0480

Mailing address

671 Hoes Ln W
Piscataway, NJ 08854-8021

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