Individual provider · Type 1 NPI
Jaime Anderson, CRNP
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1811730161
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP029794 (PA) |
| Neurology Physician | 2084N0400X | SP029794 (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1811730161
Jaime Anderson, CRNP's National Provider Identifier is 1811730161, issued on Jun 14, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 11, 2026.