Individual provider · Type 1 NPI

Thea Jerusha Anderson, ARNP

Family Nurse Practitioner · Mount Vernon, WA

NPI number 1316685100 Active

Practice location

1415 E Kincaid St
Mount Vernon, WA 98274-4126

Fax (360) 428-6402

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP61302597 (WA)
Family Nurse Practitioner Primary 363LF0000XAP61302597 (WA)

Family Nurse Practitioner: Definition to come...

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About NPI 1316685100

Thea Jerusha Anderson, ARNP's National Provider Identifier is 1316685100, issued on May 23, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Vernon, WA. The record was last updated on Oct 28, 2022.