MRS. AMORETTE LEANN ANDERSON FNP-BC NPI 1205025046

NPI Information

NPI: 1205025046
Provider Name: MRS. AMORETTE LEANN ANDERSON, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
234 LAKE ST
ROSCOMMON, MI
ZIP 48653
Phone: (989) 275-1200
Get Directions

MRS. Amorette Leann Anderson, FNP-BC is a family nurse practitioner in Roscommon, MI. MRS. Amorette Leann Anderson, FNP-BC NPI is 1205025046. 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:

234 LAKE ST
ROSCOMMON, MI
ZIP 48653-203
Phone: (989) 275-1200
Fax: (989) 275-1210

The NPI 1205025046 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 8/24/2020.

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	363LF0000X	Nurse Practitioner	Family	999	ALASKA	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	999	OTHER	ALASKA	STATE LICENSE
2	4704205103	OTHER	MICHIGAN	MICHIGAN STATE LICENSE
3	CL1391	MEDICAID	ALASKA

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: 5/5/2024

NPI Synchronization or Removal

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