Individual provider · Type 1 NPI
Stacy Anderson, PNP, CNS
Pediatric Nurse Practitioner · Aurora, CO
NPI number
1790931319
Active
Practice location
13123 E 16th Ave
Aurora, CO 80045-7106
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Clinical Nurse Specialist | 364SP0200X | 129811 (CO) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4754 (CO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1790931319
Stacy Anderson, PNP, CNS's National Provider Identifier is 1790931319, issued on Aug 14, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Aurora, CO. The record was last updated on Feb 1, 2013.