Anderson, Krista D

Anderson, Krista D is an individual health care provider with primary practice located at 5881 W 16Th St Ste A , Greeley CO 80634-2910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Krista D can be contacted via phone (970) 652-2454.

Contact Information

Primary practice address
5881 W 16Th St Ste A Greeley CO 80634-2910
Phone: (970) 652-2454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2738-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0998249-NP Colorado

Profile Details

NPI number 1427089135
LBN Legal business name Anderson, Krista D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427089135 NPPES
Wisconsin MEDICAID 36001600

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