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Contact Information

SARA J ANDERSEN
3917 WEST RD STE A
LOS ALAMOS, NM87544-2292
 Phone: 505-661-8964
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SARA J ANDERSEN · (Female)

NPI # 1619706173
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2024
Last updated 09/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 95168073
  • NM License # 80408
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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