Denise Anderson Anderson
Individual provider Active NPI Licensed Vocational Nurse · Portsmouth, VA
NPI 1447560875 · NPPES record last updated Oct 19, 2010
Key facts
- NPI
- 1447560875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 1401091977 (VA)
- Practice address
- 1227 Summit Ave
Portsmouth, VA 23704 - Phone
- (757) 715-0204
- Fax
- (757) 673-7962
- NPI assigned
- Oct 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1401091977 | VA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Homecare LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 1401091977 | VA | Yes |
Addresses
Primary practice location
1227 Summit Ave
Portsmouth, VA 23704
Mailing address
1227 Summit Ave
Portsmouth, VA 23704
Phone (757) 715-0204
Other providers in Portsmouth, VA
- Michael Patrick Andersen
- Anderson Homecare LLC
- Athan Anderson III
- Claude Damian Anderson
- Debra Anderson
- Giselle Tamara Anderson
- Mary K Anderson
- Sarah Anderson
- Andrea'S Caring Corner, LLC
- Hannah Andress
All providers in Portsmouth, VA · Licensed Vocational Nurse in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2010. 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.