MEDICARE: YVONNE 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	305S00000X	Point of Service

General Provider Information

NPI Number	:	1841668837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YVONNE ANDERSON

Provider Business Mailing Address
First Line	:	5156 BOTSFORD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4507
Country	:	US
Telephone Number	:	614-557-9211
Fax Number	:

Provider Business Practice Location Address
First Line	:	5156 BOTSFORD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4507
Country	:	US
Telephone Number	:	614-557-9211
Fax Number	:

Authorized Official
Title or Position	:	HOME HEALTH AIDE
Name	:	MS. YVONNE YVETTE ANDERSON
Credential	:
Telephone Number	:	614-557-9211

Provider Enumeration Date	:	09/08/2015
Last Update Date	:	09/08/2015

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Directions to “YVONNE ANDERSON ” Practice Location

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