Erin Collette Anderson, FNP-C
Nurse Practitioner, Primary Care in Louisiana, MO. Individual provider (NPI-1).
NPI number1932742012
StatusActive
Last updated in NPPESMay 24, 2021
Details
- NPI
- 1932742012
- Entity type
- Individual (NPI-1)
- Name
- Erin Collette Anderson
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2019
- Certification date
- May 24, 2021
- Last updated
- May 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 2019021657 | MO | Yes |
Practice location
2305 Georgia StLouisiana, MO 63353-2559
Phone 573-754-4584
Mailing address
62 Morning Sun CtWentzville, MO 63385-4642
Phone 314-303-9724
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