Emily Anderson, RN

Individual provider Active NPI General Practice Registered Nurse · Salida, CO

NPI 1386920692 · NPPES record last updated Nov 1, 2011

Key facts

NPI
1386920692
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
202109 (CO)
Practice address
448 East 1St Street
Salida, CO 81201
Phone
(719) 207-1398
NPI assigned
Nov 1, 2011
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
202109COMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 202109 CO Yes

Addresses

Primary practice location

448 East 1St Street
Salida, CO 81201

Mailing address

448 E 1St St
Salida, CO 81201-2804
Phone (719) 207-1398

Other providers in Salida, CO

All providers in Salida, CO · General Practice Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.