MEDICARE: KATIE JO 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	163WS0200X	School Registered Nurse	79894	NE

General Provider Information

NPI Number	:	1932074069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE JO ANDERSON

Provider Business Mailing Address
First Line	:	1200 E WASHINGTON ST
Second Line	:
City	:	WEST POINT
State	:	NE
Zip	:	68788-2505
Country	:	US
Telephone Number	:	402-372-5546
Fax Number	:	402-372-5458

Provider Business Practice Location Address
First Line	:	1200 E WASHINGTON ST
Second Line	:
City	:	WEST POINT
State	:	NE
Zip	:	68788-2505
Country	:	US
Telephone Number	:	402-372-5546
Fax Number	:	402-372-5458

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

Provider Enumeration Date	:	10/08/2025
Last Update Date	:	10/08/2025

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Directions to “ KATIE JO ANDERSON ” Practice Location

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