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Contact Information

MARK D ANDERSON, ARNP
9040 JACKSON AVENUE
TACOMA, WA98431-1647
 Phone: 253-968-1484
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARK D ANDERSON · (Male)

NPI # 1295285419
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 10/12/2016
Last updated 02/19/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WA License # AP60701891
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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