CONNIE L ANDERSON PA-C NPI 1386651172

NPI Information

NPI: 1386651172
Provider Name: CONNIE L ANDERSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
105 N 31ST AVE
STE 102
OMAHA, NE
ZIP 68131
Phone: (402) 346-1111
Get Directions

Connie L Anderson, PA-C is a medical physician assistant in Omaha, NE. Connie L Anderson, PA-C NPI is 1386651172. 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:

105 N 31ST AVE
STE 102
OMAHA, NE
ZIP 68131-940
Phone: (402) 346-1111
Fax: (402) 408-0004

The enumeration date for this NPI number is 8/2/2006 and was last updated on 4/19/2012.

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	363AM0700X	Physician Assistant	Medical	640	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	970015303	OTHER		RAILROAD MEDICARE
2	R03159	MEDICARE UPIN
3	810	OTHER	NEBRASKA	MIDLANDS
4	281362	MEDICARE PIN	NEBRASKA
5	272787	MEDICARE PIN	NEBRASKA
6	37956	OTHER	NEBRASKA	BCBS

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: 4/28/2024

NPI Synchronization or Removal

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