Diane M Anderson, RN

Individual provider Active NPI Home Health Registered Nurse · Benton, ME

NPI 1992270193 · NPPES record last updated Oct 4, 2018

Key facts

NPI
1992270193
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
RN21421 (ME)
Practice address
1604 Benton Ave
Benton, ME 04901-3327
Phone
(207) 453-4708
Fax
(207) 453-6250
NPI assigned
Oct 4, 2018
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN21421MEMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN21421 ME Yes

Addresses

Primary practice location

1604 Benton Ave
Benton, ME 04901-3327

Mailing address

123 Cushman Rd
Winslow, ME 04901-0746
Phone (207) 314-3141

Other providers in Benton, ME

All providers in Benton, ME · Home Health Registered Nurse in Maine

Sources for this page

Verify at the official NPI Registry.