Courtney Aline Anderson, RN
Individual provider Active NPI Registered Nurse · Hannibal, MO
NPI 1285397018 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1285397018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 13-125069-031 (KS)
- Practice address
- 653 Clinic Rd
Hannibal, MO 63401-3607 - Phone
- (573) 629-2001
- Fax
- (573) 629-2008
- NPI assigned
- Oct 19, 2021
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-125069-031 | KS | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 13-125069-031 | KS | Yes |
Addresses
Primary practice location
653 Clinic Rd
Hannibal, MO 63401-3607
Mailing address
921 S Montclaire Dr
Olathe, KS 66061-4122
Other providers in Hannibal, MO
- Mary Catherine Allensworth
- Ashraf Abdelhamin Almashhrawi
- Joseph Albert Amavisca
- American Homepatient, Inc.
- Amy J. Knickerbocker, LLC
- Larry Gene Anderson
- Lindsay Anderson
- Muhammad Jaffer Ansari
- Todd Michael Arnold
- Jamie Margaret Arns
All providers in Hannibal, MO · Registered Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2021. 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.