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Contact Information

MARY E ANDERSON, NP
1201 PLEASANT VALLEY RD
OWENSBORO, KY42303-9811
 Phone: 270-417-5911
 Fax: 270-417-6497
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY E ANDERSON · (Female)

NPI Number 1598865347
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/22/2006
Last updated 09/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 3004690
  • KY License # 4690P
  • KY Medicaid 7100235010
  • KY Other 000000845568 ANTHEM
  • KY Other P01351973 RR MEDICARE
Hospital affiliation(s)
  • T J SAMSON COMMUNITY HOSPITAL - (Acute Care)
    1301 NORTH RACE STREET
    GLASGOW, KY 42141
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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