Individual provider · Type 1 NPI
Leona Marie Anderson, DNP, AGPCNP-C
Primary Care Nurse Practitioner · Glendale, OR
NPI number
1629007182
Active · reactivated Apr 24, 2019
Practice location
101 1st St
Glendale, OR 97442-9640
Mailing address
1843 Starveout Creek Rd
Azalea, OR 97410-9701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oncology Registered Nurse | 163WX0200X | RN091484 (GA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 201805000NPPP (OR) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1629007182
Leona Marie Anderson, DNP, AGPCNP-C's National Provider Identifier is 1629007182, issued on Jun 30, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Glendale, OR. The record was last updated on Aug 10, 2020.