Healthcare Provider Details

I. General information

NPI: 1417898388
Provider Name (Legal Business Name): VALERIE ANDERSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 HIDDENITE CHURCH RD
HIDDENITE NC
28636-8168
US

IV. Provider business mailing address

6859 HOUSER FARM RD
VALE NC
28168-8684
US

V. Phone/Fax

Practice location:
  • Phone: 980-210-6559
  • Fax:
Mailing address:
  • Phone: 980-210-6559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225CA2500X
TaxonomyAssistive Technology Supplier Rehabilitation Counselor
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: