Kea'Asha Anderson, LPN
Licensed Practical Nurse in Gainesville, FL. Individual provider (NPI-1).
NPI number1982145587
StatusActive
Last updated in NPPESMar 15, 2017
Details
- NPI
- 1982145587
- Entity type
- Individual (NPI-1)
- Name
- Kea'Asha Anderson
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2017
- Last updated
- Mar 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN 5224029 | FL | Yes |
Practice location
900 Ne 22nd TerGainesville, FL 32641-4744
Phone 910-689-6391
Mailing address
900 Ne 22nd TerGainesville, FL 32641-4744
Phone 910-689-6391
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