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NPI Code Detail

MEDICARE: MS. PATRICIA ANDERSON CNA

MEDICARE:  MS. PATRICIA  ANDERSON  CNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1174049837
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA ANDERSON CNA
Provider Business Mailing Address
First Line : 4089 SWEETSPRINGS TER SW
Second Line :
City : POWDER SPRINGS
State : GA
Zip : 30127-8444
Country : US
Telephone Number : 330-518-3237
Fax Number :
Provider Business Practice Location Address
First Line : 4089 SWEETSPRINGS TERRACE SOUTHWEST
Second Line :
City : POWDER SPRINGS
State : GA
Zip : 30127
Country : US
Telephone Number : 330-518-3237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2017
Last Update Date : 07/21/2022

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Directions to “ MS. PATRICIA ANDERSON CNA” Practice Location

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