MRS. SONDRA SUZETTE ANDERSEN PA-C NPI 1982710240

NPI Information

MRS. Sondra Suzette Andersen, PA-C is a medical physician assistant in Goodyear, AZ. MRS. Sondra Suzette Andersen, PA-C NPI is 1982710240. 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:

13555 W MCDOWELL RD
SUITE 104
GOODYEAR, AZ
ZIP 85395-624
Phone: (623) 512-4176
Fax: (623) 512-4199

The NPI 1982710240 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 8/21/2006 and was last updated on 10/23/2013.

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:

Other Identifiers

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

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