Victoria Angel Anderson, MS

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lebanon, NH

NPI 1194528000 · NPPES record last updated Mar 28, 2025

Key facts

NPI
1194528000
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1 Medical Dr
Lebanon, NH 03756-1000
Phone
(603) 650-5000
NPI assigned
Mar 28, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250722003091 NH Order and Referring Only - Pediatric Medicine
Practitioner - Pediatric Medicine
8628584075

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1 Medical Dr
Lebanon, NH 03756-1000

Mailing address

2 Cobblestone CT
Moorestown, NJ 08057-4011
Phone (609) 330-5127

Other providers in Lebanon, NH

All providers in Lebanon, NH · Student in an Organized Health Care Education/Training Program in New Hampshire

Sources for this page

Verify at the official NPI Registry.