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NPI Code Detail

MEDICARE: MYRNA R ANDERSON

MEDICARE: MYRNA R ANDERSON
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
13747P1801XPersonal Care AttendantNV

General Provider Information

NPI Number : 1477319176
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYRNA R ANDERSON
Provider Business Mailing Address
First Line : 5550 PAINTED MIRAGE RD STE 440
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4593
Country : US
Telephone Number : 725-205-3303
Fax Number :
Provider Business Practice Location Address
First Line : 5550 PAINTED MIRAGE RD STE 440
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4593
Country : US
Telephone Number : 725-205-3303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2024
Last Update Date : 12/17/2025

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Directions to “ MYRNA R ANDERSON ” Practice Location

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