MEDICARE: ALICIA MARIE ANDERSON

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	390200000X	Student in an Organized Health Care Education/Training Program	ANDERSON1995	NC

General Provider Information

NPI Number	:	1538864541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA MARIE ANDERSON

Provider Business Mailing Address
First Line	:	2131 S 17TH ST
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-7407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2131 S 17THS ST
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28410-0001
Country	:	US
Telephone Number	:	910-343-7000
Fax Number	:	910-667-5650

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

Provider Enumeration Date	:	03/31/2023
Last Update Date	:	03/31/2023

Similar Medicare Providers

1316080781 — NEW HANOVER COUNTY SCHOOLS
Practice Location Address:

6410 CAROLINA BEACHRD
WILMINGTON, NC
28410-0001

Practice Phone: 910-254-4442
Practice Fax:

1225165350 — DR. RAYMOND R STROCKO M.D.
Practice Location Address:

D-5014 DUPONT CO , 1007 N. MARKET ST.
WILMINGTON, DE
19898-0001

Practice Phone: 302-774-8666
Practice Fax: 302-773-6030

1275884496 — DR. JOHN LEHMAN PHARMD, RPH
Practice Location Address:

1800 CONCORD PIKE
WILMINGTON, DE
19897-0001

Practice Phone: 877-893-0390
Practice Fax:

1245576370 — KATHLEEN A CORCORAN PA-C
Practice Location Address:

1800 CONCORD PIKE
WILMINGTON, DE
19897-0001

Practice Phone: 302-886-3241
Practice Fax: 302-886-5041

1093159220 — PREMISE HEALTH OF DELAWARE MEDICAL PA
Practice Location Address:

1800 CONCORD PIKE FOC SW1
WILMINGTON, DE
19897-0001

Practice Phone: 302-886-3241
Practice Fax: 302-886-5041

1003236696 — MR. SHAUN JOSEPH TOOMEY ATC
Practice Location Address:

WESTMINSTER COLLEGE , 137 S. MARKET ST.
NEW WILMINGTON, PA
16172-0001

Practice Phone: 724-946-7314
Practice Fax: 724-946-6297

Directions to “ ALICIA MARIE ANDERSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.