Julie Marie Anderson, LPN

Individual provider Active NPI Licensed Practical Nurse · Minden, NE

NPI 1770066698 · NPPES record last updated Sep 7, 2018

Key facts

NPI
1770066698
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
10366 (NE)
Practice address
123 N Minden Ave
Minden, NE 68959-1624
Phone
(308) 832-2338
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10366NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minden Public Schools Licensed Practical Nurse Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 10366 NE Yes

Addresses

Primary practice location

123 N Minden Ave
Minden, NE 68959-1624

Mailing address

123 N Minden Ave
Minden, NE 68959-1624
Phone (308) 832-2460

Other providers in Minden, NE

All providers in Minden, NE · Licensed Practical Nurse in Nebraska

Sources for this page

Verify at the official NPI Registry.