Healthcare Provider Details

I. General information

NPI: 1700079183
Provider Name (Legal Business Name): JANICE ANDERSON AU. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 02/09/2025
Certification Date: 02/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 CLEBURNE BLVD
DUBLIN VA
24084-4435
US

IV. Provider business mailing address

85 CLEBURNE BLVD
DUBLIN VA
24084-4435
US

V. Phone/Fax

Practice location:
  • Phone: 540-674-4889
  • Fax: 540-674-1666
Mailing address:
  • Phone: 540-674-4889
  • Fax: 540-674-1666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: