MARTHA ANDERSON CNS NPI 1053395608

NPI Information

NPI: 1053395608
Provider Name: MARTHA ANDERSON, CNS
Classification: Clinical Nurse Specialist - 364SG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
2118 ROSALIND AVE SW
ROANOKE, VA
ZIP 24014
Phone: (540) 981-7653
Get Directions

Martha Anderson, CNS is a gerontology clinical nurse specialist in Roanoke, VA. Martha Anderson, CNS NPI is 1053395608. 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:

2118 ROSALIND AVE SW
ROANOKE, VA
ZIP 24014-718
Phone: (540) 981-7653
Fax: (540) 981-7469

The enumeration date for this NPI number is 12/6/2005 and was last updated on 10/27/2008.

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	364SG0600X	Clinical Nurse Specialist	Gerontology	0015-000472	VIRGINIA	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
1	010066492	MEDICAID	VIRGINIA
2	8929335	MEDICAID	VIRGINIA
3	000845C19	MEDICARE PIN	VIRGINIA
4	P26331	MEDICARE UPIN	VIRGINIA

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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