DEREK A ANDERSON, Home Health Aide MOUNT VERNON, WA

Contact Information

DEREK A ANDERSON

1315 E DIVISION ST
MOUNT VERNON, WA 98274-4134

Phone: 360-734-5410
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Home Health Aide	374U00000X

Indicates primary specialty

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NPI Profile & details for DEREK A ANDERSON · (Male)

NPI #	`1093582090`
Status	Active
Credentials
Entity	Individual
Enumeration date	12/08/2023
Last updated	12/08/2023 - About 2 years ago
Sole proprietor ¹	Yes
Identifiers	WA License # NC61125493
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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DEREK A ANDERSONHome Health Aide

Contact Information

Specialty

Home Health Aide

NPI Profile & details for DEREK A ANDERSON · (Male)

Reviews for DEREK A ANDERSON

DEREK A ANDERSON
Home Health Aide