Yvonne Anderson

Individual provider Active NPI Case Manager/Care Coordinator · Vidalia, LA

NPI 1578058822 · NPPES record last updated Jul 23, 2021

Key facts

NPI
1578058822
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1644 Carter St
Vidalia, LA 71373-3143
Phone
(318) 414-3065
NPI assigned
Jun 28, 2018
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

Specialties & licenses

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

Addresses

Primary practice location

1644 Carter St
Vidalia, LA 71373-3143

Mailing address

1644 Carter St
Vidalia, LA 71373-3143
Phone (318) 414-3065

Other providers in Vidalia, LA

All providers in Vidalia, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.