CORI ANDERSON


Address: 47 Doc Perkes Ln, Afton, WY 83110
Phone: 3078853637

CORI ANDERSON (NPI# 1609425859) 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) 1609425859
Entity Type Individual
Full Name CORI ANDERSON
Practice Address 47 Doc Perkes Ln
Afton
WY 83110
Mailing Address Po Box 69
Afton
WY 83110-0069
Practice Telephone 3078853637
Enumeration Date 2019-09-10
Last Update Date 2019-09-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PT833 WY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 47 DOC PERKES LN
City AFTON
State WY
Zip Code 83110

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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Competitor

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City AFTON
Zip Code 83110

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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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