Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 403 | NC |
N | 222Z00000X | Podiatrist | 403 | NC |
Y | 213ES0103X | Foot & Ankle Surgery | 403 | NC |
NPI | 1013935519 |
---|---|
Provider Name | Dr. Jane Elizabeth Andersen |
First Address | Chapel Hill, NC 27514-2825 |
Second Address | Chapel Hill, NC 27514-2825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 03/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U64049 | (02) | NC |