Coreen Ann Marie Anderson
Individual provider Active NPI Home Health Aide · Concord, NC
NPI 1124893748 · NPPES record last updated Nov 24, 2023
Key facts
- NPI
- 1124893748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 300 Perennial Dr NW
Concord, NC 28027-7272 - Phone
- (704) 453-9649
- NPI assigned
- Nov 24, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
300 Perennial Dr NW
Concord, NC 28027-7272
Mailing address
19109 W Catawba Ave Ste 200
Cornelius, NC 28031-5614
Phone (704) 453-9649
Other providers in Concord, NC
- Ishwari Amin
- Ashlyne Burris Anderson
- Bridgette Jeannine Anderson
- Carson E Anderson
- Christy Lynn Anderson
- Corey Anderson
- Janay Anderson
- Rebecca Marie Anderson
- Scott L Anderson
- Starrbria Rachelle Anderson
All providers in Concord, NC · Home Health Aide in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.