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NPI Code Detail

MEDICARE: MRS. LAURA LYNNE ANDERSON APRN, DNP, PMHNP-BC

MEDICARE: MRS. LAURA LYNNE ANDERSON APRN, DNP, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner260938AZ

General Provider Information

NPI Number : 1841527736
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA LYNNE ANDERSON APRN, DNP, PMHNP-BC
Provider Business Mailing Address
First Line : 3003 N CENTRAL AVE STE 400
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2929
Country : US
Telephone Number : 602-685-6000
Fax Number : 602-302-7925
Provider Business Practice Location Address
First Line : 4616 N 51ST AVE STE 108
Second Line :
City : PHOENIX
State : AZ
Zip : 85031-1720
Country : US
Telephone Number : 480-377-2073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2009
Last Update Date : 05/27/2023

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Directions to “ MRS. LAURA LYNNE ANDERSON APRN, DNP, PMHNP-BC” Practice Location

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