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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT ANDERSON

Active Sole Proprietor

ROBERT ANDERSON is a Licensed Practical Nurse healthcare provider located in ESTILL SPRINGS, Tennessee. NPI 1861803504 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · ESTILL SPRINGS, TN

Registration Details

NPI Number
1861803504
Provider Type
Individual
Gender
Male
NPI Issued
May 15, 2014 (12.267190216298 yrs)
Last Updated
May 15, 2014
License
LPN0000079694 (TN)
Sole Proprietor
Yes

Practice Information

Address
1474 BONNER WAY
ESTILL SPRINGS, TN, 373304080
Browse TN providers · Browse ZIP 37330
Phone
9312476927
Primary Specialty
Licensed Practical Nurse
164W00000X
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.