Anderson, Laurie J.

Anderson, Laurie J. is an individual health care provider with primary practice located at 100 Kenyon Ave , Wakefield RI 02879-4216. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Anderson, Laurie J. can be contacted via phone (401) 782-8000.

Contact Information

Primary practice address
100 Kenyon Ave Wakefield RI 02879-4216
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NPP37257 Rhode Island

Profile Details

NPI number 1194769539
LBN Legal business name Anderson, Laurie J.
Credentials Registered Nurse Practitioner (RNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Apr 22nd, 2008 - about 18 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 1194769539 NPPES
Rhode Island Other 007058546 MEDICARE
Rhode Island Other 27663-6 MEDICARE
Rhode Island Other 411710 MEDICARE
Rhode Island MEDICAID 7050020 MEDICARE

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