IndividualActive
Andrea Anderson
NPI 1427616986 · Nurse Practitioner · Council Bluffs, IA
Provider details
- NPI number
- 1427616986
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 112780 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Edmundson Pl Ste 100
Council Bluffs, IA 51503-4658
Phone: (717) 322-4136
Fax: (717) 322-8129
Approximate (ZIP-level) locationGet directions
Mailing address
8632 S 99th Cir
La Vista, NE 68128-7009
Registry dates
- Enumerated
- 2019-05-30
- Last updated
- 2023-02-10
- Certified
- 2023-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.