Anderson, Willard Marvin

Anderson, Willard Marvin is an individual health care provider with primary practice located at 459 Grace Ave Ste 100 , Panama City FL 32401-2757. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Anderson, Willard Marvin can be contacted via phone (615) 568-5529.

Contact Information

Primary practice address
459 Grace Ave Ste 100 Panama City FL 32401-2757
Phone: (615) 568-5529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9348879 Florida

Profile Details

NPI number 1063756211
LBN Legal business name Anderson, Willard Marvin
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2012
Last updated Jul 28th, 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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