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NPI Code Detail

MEDICARE: PROF. JUDITH ELAINE ANDERS PH.D., MS, CNS, APRN

MEDICARE:  PROF. JUDITH ELAINE ANDERS  PH.D., MS, CNS, APRN
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
1163WG0600XGerontology Registered Nurse564941TX

General Provider Information

NPI Number : 1518305788
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. JUDITH ELAINE ANDERS PH.D., MS, CNS, APRN
Provider Business Mailing Address
First Line : 1120 TAHLEQUAH TRL
Second Line :
City : CARROLLTON
State : TX
Zip : 75007-6215
Country : US
Telephone Number : 972-492-4067
Fax Number :
Provider Business Practice Location Address
First Line : 1120 TAHLEQUAH TRL
Second Line :
City : CARROLLTON
State : TX
Zip : 75007-6215
Country : US
Telephone Number : 972-492-4067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2013
Last Update Date : 06/11/2013

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Directions to “ PROF. JUDITH ELAINE ANDERS PH.D., MS, CNS, APRN” Practice Location

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