Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN JEAN ANDERSON
Active Sole ProprietorNurse's Aide · BENSENVILLE, IL
Registration Details
- NPI Number
- 1306410816
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2021 (4.9373689963983 yrs)
- Last Updated
- May 19, 2021
- License
-
166820 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
644 S YORK RD APT 112BENSENVILLE, IL, 601063048Browse IL providers · Browse ZIP 60106
- Phone
- 7738707599
- Primary Specialty
-
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.