MEDICARE: KAMIA 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
1	374J00000X	Doula		NV

General Provider Information

NPI Number	:	1548868284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMIA ANDERSON

Provider Business Mailing Address
First Line	:	8480 S EASTERN AVE STE F
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2822
Country	:	US
Telephone Number	:	702-830-5325
Fax Number	:	702-830-4385

Provider Business Practice Location Address
First Line	:	8480 S EASTERN AVE STE F
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2822
Country	:	US
Telephone Number	:	702-830-5325
Fax Number	:	702-830-4385

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2020
Last Update Date	:	09/03/2025

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Directions to “ KAMIA ANDERSON ” Practice Location

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