MEDICARE: MAUREEN ANDERSON CNA

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	251E00000X	Home Health Agency	050560931015E	AR

General Provider Information

NPI Number	:	1508651282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN ANDERSON CNA

Provider Business Mailing Address
First Line	:	7500 S UNIVERSITY AVE # 2122
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-3757
Country	:	US
Telephone Number	:	501-952-2813
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 S UNIVERSITY AVE
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-3757
Country	:	US
Telephone Number	:	501-952-2813
Fax Number	:

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

Provider Enumeration Date	:	04/12/2025
Last Update Date	:	04/12/2025

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Directions to “ MAUREEN ANDERSON CNA” Practice Location

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