Dana Denette Anderson, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Gretna, LA
NPI 1669985206 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1669985206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN136762 (LA)
- Practice address
- 1101 Franklin Ave
Gretna, LA 70053-2312 - Phone
- (504) 333-5407
- NPI assigned
- Nov 6, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN136762 | LA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN136762 | LA | Yes |
Addresses
Primary practice location
1101 Franklin Ave
Gretna, LA 70053-2312
Mailing address
2700 Whitney Ave Apt 568
Harvey, LA 70058-3364
Phone (504) 333-5407
Other practice location 1
2700 Whitney Ave Apt 568
Harvey, LA 70058-3364
Phone (504) 333-5407
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.