IndividualActive
Angelica Anderson, APRN
NPI 1619709078 · Family Nurse Practitioner · Lebanon, KY
Provider details
- NPI number
- 1619709078
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 4026321 (KY)
Mailing address
546 Clell Mattingly Rd
Raywick, KY 40060-7573
Registry dates
- Enumerated
- 2024-08-15
- Last updated
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.