David Allen Anderson, RN

Individual provider Active NPI Nursing Care Agency · Indianapolis, IN

NPI 1023645447 · NPPES record last updated Mar 25, 2020

Key facts

NPI
1023645447
Entity type
Individual (NPI type 1)
Primary specialty
Nursing Care Agency 251J00000X
License
28092581A (IN)
Practice address
7746 Orchard Village Dr
Indianapolis, IN 46217-2907
Phone
(317) 985-8265
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28092581AINMDNursing Care Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 28092581A IN Yes

Addresses

Primary practice location

7746 Orchard Village Dr
Indianapolis, IN 46217-2907

Mailing address

7746 Orchard Village Dr
Indianapolis, IN 46217-2907
Phone (317) 985-8265

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Taichifusion01.com Direct
CONNECT URL Taichifusion01@gmail.com Direct
CONNECT URL Taichifusion01@gmail.com

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Nursing Care Agency in Indiana

Sources for this page

Verify at the official NPI Registry.