Healthcare Provider Details

I. General information

NPI: 1689521957
Provider Name (Legal Business Name): ELIZA M ANDERSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZA M HUTCHINSON RN

II. Dates (important events)

Enumeration Date: 03/14/2026
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 LAKESIDE VLG CMNS
CHICO CA
95928-3979
US

IV. Provider business mailing address

1839 BEDFORD DR
CHICO CA
95928-7476
US

V. Phone/Fax

Practice location:
  • Phone: 530-332-6850
  • Fax: 530-893-6857
Mailing address:
  • Phone: 530-332-6850
  • Fax: 530-893-6857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number634895
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: