Individual provider · Type 1 NPI

Caroline D. Andersen, PA

Medical Physician Assistant · Stockton, CA

NPI number 1669755682 Active

Practice location

415 E Harding Way, Suite D
Stockton, CA 95204-6118

Fax (209) 464-2684

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA21726 (CA)

Medical Physician Assistant: Definition to come...

15 other providers at this address

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About NPI 1669755682

Caroline D. Andersen, PA's National Provider Identifier is 1669755682, issued on Sep 26, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stockton, CA. The record was last updated on Sep 26, 2011.