Individual provider · Type 1 NPI

Kisha Tamara Anderson, APN

Women's Health Nurse Practitioner · Newark, NJ

NPI number 1003881103 Active

Practice location

151 Washington St
Newark, NJ 07102-3026

Fax (973) 622-1698

Mailing address

312 Stuyvesant Ave
Newark, NJ 07106-3637

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X26NN11131200 (NJ)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1003881103

Kisha Tamara Anderson, APN's National Provider Identifier is 1003881103, issued on Feb 22, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Newark, NJ. The record was last updated on Jul 13, 2011.