Pamela Ann Anderson, RN

Individual provider Active NPI Community Health Registered Nurse · New Albany, IN

NPI 1255596276 · NPPES record last updated Jul 21, 2008

Key facts

NPI
1255596276
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
28116135A (IN)
Practice address
1917 Bono Rd
New Albany, IN 47150-4607
Phone
(812) 944-3017
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
28116135AINMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd County Government Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 28116135A IN Yes

Addresses

Primary practice location

1917 Bono Rd
New Albany, IN 47150-4607

Mailing address

1884 Gutford CT
Clarksville, IN 47129-9064
Phone (812) 725-9630

Other providers in New Albany, IN

All providers in New Albany, IN · Community Health Registered Nurse in Indiana

Sources for this page

Verify at the official NPI Registry.