Addison Connor Anderson

Individual provider Active NPI Case Manager/Care Coordinator · Newark, OH

NPI 1346853959 · NPPES record last updated Aug 25, 2020

Key facts

NPI
1346853959
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
15 N 3Rd St Ste 200
Newark, OH 43055-5550
Phone
(740) 349-7511
NPI assigned
Aug 25, 2020
Sex
Female
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

15 N 3Rd St Ste 200
Newark, OH 43055-5550

Mailing address

15 N 3Rd St Ste 200
Newark, OH 43055-5550
Phone (740) 349-7511

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jshaffer@nyap.org

Other providers in Newark, OH

All providers in Newark, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.