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Contact Information

CASEY ANDERSON, APRN
810 W ANTHONY DR
URBANA, IL61802-7431
 Phone: 217-383-3077
 Fax: 217-383-3519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CASEY ANDERSON · (Female)

NPI Number 1861149411
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 03/03/2022
Last updated 05/09/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041.395211
  • IL License # 209.026005
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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