MEDICARE: MRS. JANET ANN ANDERSON ANP

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	363LW0102X	Women's Health Nurse Practitioner	439576	TX

General Provider Information

NPI Number	:	1477634772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANET ANN ANDERSON ANP

Provider Business Mailing Address
First Line	:	732 PARK ROAD 4 S
Second Line	:
City	:	BURNET
State	:	TX
Zip	:	78611-5468
Country	:	US
Telephone Number	:	830-798-4908
Fax Number	:	512-355-4190

Provider Business Practice Location Address
First Line	:	1706 HWY 1431
Second Line	:	PLAZA WEST, STE A
City	:	MARBLE FALLS
State	:	TX
Zip	:	78654-4954
Country	:	US
Telephone Number	:	830-798-4908
Fax Number	:	512-755-4190

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	06/23/2009

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