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Contact Information

BRENDA R ANDERSON
13501 NE 28TH ST
VANCOUVER, WA98682-8091
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for BRENDA R ANDERSON · (Female)

NPI Number 1316408875
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2019
Last updated 03/27/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WA License # LP00047611
  • WA Medicaid 1245311141
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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