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Contact Information

ANDREA J ANDERSON
1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA51503-4658
 Phone: 717-322-4136
 Fax: 717-322-8129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANDREA J ANDERSON · (Female)

NPI # 1427616986
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2019
Last updated 02/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IA License # A154365
  • NE License # 112780
Hospital affiliation(s)
  • GEORGE C GRAPE COMMUNITY HOSPITAL - (Critical Access)
    2959 US HIGHWAY 275
    HAMBURG, IA 51640
  • JENNIE EDMUNDSON HOSPITAL - (Acute Care)
    933 EAST PIERCE STREET
    COUNCIL BLUFFS, IA 51503
  • MYRTUE MEDICAL CENTER - (Critical Access)
    1213 GARFIELD AVENUE
    HARLAN, IA 51537
  • ST MARY'S COMMUNITY HOSPITAL - (Critical Access)
    1314 3RD AVE
    NEBRASKA CITY, NE 68410
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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