Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | SP019882 | PA |
NPI | 1003375676 |
---|---|
Provider Name | Chelsea Renee Anderson |
First Address | Pittsburgh, PA 15213-3108 |
Second Address | Pittsburgh, PA 15213-3108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2019 |
Last Update Date | 13/03/2019 |