MRS. ACHAMMA ANDERSON


Address: 3603 Las Vegas Blvd N, Suite 110, Las Vegas, NV 89115-0588
Phone: 7026573873

MRS. ACHAMMA ANDERSON (NPI# 1164655536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164655536
Entity Type Individual
Full Name MRS. ACHAMMA ANDERSON
Credential A.P.N.
Practice Address 3603 Las Vegas Blvd N
Suite 110
Las Vegas
NV 89115-0588
Practice Telephone 7026573873
Practice Fax Number 7026360787
Mailing Telephone 7026573873
Mailing Fax Number 7026360787
Enumeration Date 2009-09-01
Last Update Date 2009-09-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
APN00091 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3603 LAS VEGAS BLVD N
SUITE 110
City LAS VEGAS
State NV
Zip Code 89115-0588

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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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