Individual provider · Type 1 NPI
Mara Anderson
Acute Care Nurse Practitioner · Charleston, SC
NPI number
1669065967
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 24470 (SC) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1669065967
Mara Anderson's National Provider Identifier is 1669065967, issued on Feb 17, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Charleston, SC. The record was last updated on Feb 23, 2021.