Pauline V Anderson
Individual provider Active NPI Homemaker · Mansfield, OH
NPI 1861179376 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1861179376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 592 Fairoaks Blvd
Mansfield, OH 44907-2723 - Phone
- (419) 522-6456
- NPI assigned
- Jun 28, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | |||
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
592 Fairoaks Blvd
Mansfield, OH 44907-2723
Mailing address
592 Fairoaks Blvd
Mansfield, OH 44907-2723
Phone (419) 522-6456
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. 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.