Individual provider · Type 1 NPI

Kelly A. Anderson, NP

Adult Health Nurse Practitioner · Fort Wayne, IN

NPI number 1043592033 Active

Practice location

7900 W Jefferson Blvd, Suite 304
Fort Wayne, IN 46804-4128

Fax (260) 969-6201

Mailing address

PO Box 8857
Fort Wayne, IN 46898-8857

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X71003789A (IN)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1043592033

Kelly A. Anderson, NP's National Provider Identifier is 1043592033, issued on Sep 15, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 13, 2012.