Connie L Anderson is a Medical in Omaha, Nebraska. Connie L Anderson practices all healthcare services and medical treatments related to Medical. The NPI Number for Connie L Anderson is 1386651172. The last update date is 2012-04-19.
Connie L Anderson's current location address is 105 N 31st Ave, Omaha, Nebraska. You can contact this provider via phone number 4023461111 and fax number 4024080004. The mailing address for Connie L Anderson is 105 N 31st Ave, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie L Anderson |
|---|---|
| Address | 105 N 31st Ave, Omaha, Nebraska |
| Phone Number | 4023461111 |
| Fax Number | 4024080004 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1386651172 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2012-04-19 |
Provider Mailing Address Detail
| Address | 105 N 31st Ave |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681312940 |
| Phone Number | 4023461111 |
| Fax Number | 4024080004 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 640 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37956 | NE | BCBS | |
| 970015303 | RAILROAD MEDICARE | ||
| 810 | NE | MIDLANDS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Connie L Anderson by the Centers for Medicare & Medicaid Services?
The Connie L Anderson has been issued the NPI (National Provider Identifier) 1386651172, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Connie L Anderson's facilities are geographically located?
The facilities of Connie L Anderson are physically situated at the following location: 105 N 31St Ave, Omaha, NE, 681312940.
What is the Connie L Anderson's area of specialization and corresponding taxonomy classification?
The Connie L Anderson's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Connie L Anderson receive its 1386651172 assignment from the Centers for Medicare & Medicaid Services?
The Connie L Anderson was assigned its 1386651172 by the Centers for Medicare & Medicaid Services on 2006-08-02.
When was the information pertaining to Connie L Anderson most recently updated or revised?
The details related to Connie L Anderson, including its address, specialty, and other relevant information, were last updated or revised on 2012-04-19.