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Contact Information

ANGELICA ANDERSON, APRN
429 W WALNUT ST
LEBANON, KY40033-1346
 Phone: 270-295-1010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANGELICA ANDERSON · (Female)

NPI # 1619709078
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/15/2024
Last updated 01/07/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 4026321
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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