MRS. ACHAMMA ANDERSON A.P.N. NPI 1164655536

NPI Information

NPI: 1164655536
Provider Name: MRS. ACHAMMA ANDERSON, A.P.N.
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Organization: COMMUNITY OUTREACH MEDICAL CENTER

PECOS Registration: Yes

Address:
3603 LAS VEGAS BLVD N
SUITE 110
LAS VEGAS, NV
ZIP 89115
Phone: (702) 657-3873
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MRS. Achamma Anderson, A.P.N. is an obstetrics and gynecology nurse practitioner in Las Vegas, NV with 55 years of experience. MRS. Achamma Anderson, A.P.N. NPI is 1164655536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3603 LAS VEGAS BLVD N
SUITE 110
LAS VEGAS, NV
ZIP 89115-588
Phone: (702) 657-3873
Fax: (702) 636-0787

The NPI 1164655536 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2009 and was last updated on 3/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	APN00091	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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