Individual provider · Type 1 NPI
Kathleen Anderson, NP
Adult Health Nurse Practitioner · Syracuse, NY
NPI number
1588640387
Active
Practice location
739 Irving Ave
Syracuse, NY 13210-1640
Fax (315) 701-2520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F300236 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1588640387
Kathleen Anderson, NP's National Provider Identifier is 1588640387, issued on Dec 22, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Syracuse, NY. The record was last updated on Jul 13, 2026.