Anderson, Victoria A

Anderson, Victoria A is an sole proprietor health care provider with primary practice located at 1387 N Shadeland Ave Ste E , Indianapolis IN 46219-3605. She recently has 6 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Agencies / In Home Supportive Care, Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle, Nursing Service Related Providers / Attendant Care Provider, Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is her primary health care specialty. Anderson, Victoria A can be contacted via phone (317) 361-6988.

Contact Information

Primary practice address
1387 N Shadeland Ave Ste E Indianapolis IN 46219-3605
Phone: (317) 361-6988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 21-015355-1 Indiana
Agencies / In Home Supportive Care 253Z00000X Indiana
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X Indiana
Transportation Services / Private Vehicle 347C00000X Indiana
Nursing Service Related Providers / Attendant Care Provider 3747A0650X Indiana
Nursing Service Related Providers / Home Health Aide 374U00000X 000657 Indiana
Laboratories / Clinical Medical Laboratory 291U00000X 15D2275815 Indiana

Profile Details

NPI number 1922773241
LBN Legal business name Anderson, Victoria A
Credentials CNA;( CCMA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2021
Last updated Apr 24th, 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 1922773241 NPPES
Indiana MEDICAID 210153551

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