IndividualActive
Aisha Anderson
NPI 1174035901 · Licensed Practical Nurse · Queens Village, NY
Provider details
- NPI number
- 1174035901
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 330353 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
11309 208th St
Queens Village, NY 11429-2207
Phone: (347) 884-3575
Approximate (ZIP-level) locationGet directions
Mailing address
11309 208th St
Queens Village, NY 11429-2207
Registry dates
- Enumerated
- 2017-11-02
- Last updated
- 2017-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.