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Contact Information

COURTNEY A ANDERSON, APRN
3057 N PERRYVILLE RD
ROCKFORD, IL61114-8016
 Phone: 887-448-3627
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for COURTNEY A ANDERSON · (Female)

NPI # 1457116246
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 02/20/2024
Last updated 02/20/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209028974
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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