Misty Anderson

Individual provider Active NPI Case Manager/Care Coordinator · Malvern, AR

NPI 1649838673 · NPPES record last updated Jun 4, 2019

Key facts

NPI
1649838673
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1628 E Page Ave
Malvern, AR 72104-4524
Phone
(501) 315-3344
NPI assigned
Jun 4, 2019
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

1628 E Page Ave
Malvern, AR 72104-4524

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344

Other providers in Malvern, AR

All providers in Malvern, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.