Individual provider · Type 1 NPI

Autumn Sage Anderson, MSN, RN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Davenport, IA

NPI number 1306475413 Active

Practice location

1441 W Central Park Ave
Davenport, IA 52804-1707

Mailing address

3527 W Columbia Ave
Davenport, IA 52804-1123

Other practice locations

  • 3527 W Columbia Ave, Davenport, IA 52804-1123 · (630) 329-4999

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XG181066 (IA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1306475413

Autumn Sage Anderson, MSN, RN, PMHNP-BC's National Provider Identifier is 1306475413, issued on Apr 2, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Davenport, IA. The record was last updated on Sep 13, 2024.