Joanie Lynne Anderson, CPSS

Individual provider Active NPI Peer Specialist · Midland, MI

NPI 1609311950 · NPPES record last updated Dec 22, 2016

Key facts

NPI
1609311950
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
218 Fast Ice Dr
Midland, MI 48642-6167
Phone
(989) 631-2320
Fax
(989) 631-3343
NPI assigned
Dec 22, 2016
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
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

218 Fast Ice Dr
Midland, MI 48642-6167

Mailing address

218 Fast Ice Dr
Midland, MI 48642-6167
Phone (989) 631-2320

Other providers in Midland, MI

All providers in Midland, MI · Peer Specialist in Michigan

Sources for this page

Verify at the official NPI Registry.