Catrecha Anderson in Fort Campbell - Physician Assistant

Catrecha Anderson - NPI 1700943941

Catrecha Anderson is a Physician Assistant in Fort Campbell, Kentucky. Catrecha Anderson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Catrecha Anderson is 1700943941. The last update date is 2012-11-29.

Catrecha Anderson's current location address is 5979 Desert Storm Ave, Fort Campbell, Kentucky. You can contact this provider via phone number 2704123535 and fax number 2704614598. The mailing address for Catrecha Anderson is 5979 Desert Storm Ave, Fort Campbell, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Catrecha Anderson
Address 5979 Desert Storm Ave, Fort Campbell, Kentucky
Phone Number 2704123535
Fax Number 2704614598
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1700943941
Provider Enumeration Date 2007-01-03
Last Updated Date 2012-11-29

Provider Mailing Address Detail

Address 5979 Desert Storm Ave
City Fort Campbell
State Kentucky (KY)
Post Code 422235585
Phone Number 2704123535
Fax Number 2704614598

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Catrecha Anderson

What is the Catrecha Anderson's unique identification number?

The Catrecha Anderson has been assigned the NPI (National Provider Identifier) Number 1700943941 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Catrecha Anderson?

The Catrecha Anderson is physically situated at 5979 Desert Storm Ave, in the city of Fort Campbell, state of KY, with the postal code 422235585.

What is Catrecha Anderson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Catrecha Anderson's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date was the 1700943941 assigned to Catrecha Anderson?

The Catrecha Anderson was issued its 1700943941 on 2007-01-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Catrecha Anderson most recently updated or revised?

The details related to Catrecha Anderson, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-29.

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