Individual provider · Type 1 NPI
Diane Michelle Anderson, APN
Adult Health Nurse Practitioner · Hackensack, NJ
NPI number
1861759474
Active
Practice location
30 Prospect Ave
Hackensack, NJ 07601-1914
Mailing address
978 Belle Ave
Teaneck, NJ 07666-2613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ00370800 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1861759474
Diane Michelle Anderson, APN's National Provider Identifier is 1861759474, issued on Apr 19, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hackensack, NJ. The record was last updated on Apr 19, 2012.