MARY DENEEN ANDERSON MSN APRN PMHNP-BC NPI 1932854080

NPI Information

NPI: 1932854080
Provider Name: MARY DENEEN ANDERSON, MSN, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
13 AEGINA DR
TINLEY PARK, IL
ZIP 60477
Phone: (773) 573-3503
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Mary Deneen Anderson, MSN, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Tinley Park, IL. Mary Deneen Anderson, MSN, APRN, PMHNP-BC NPI is 1932854080. 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:

13 AEGINA DR
TINLEY PARK, IL
ZIP 60477-835
Phone: (773) 573-3503

The enumeration date for this NPI number is 2/17/2022 and was last updated on 2/17/2022.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209.024792	ILLINOIS	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: 5/5/2024

NPI Synchronization or Removal

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