Mrs. Jeanette Maria Anderson
Geriatric Medicine
18589 N 59th Ave Ste. 101
Glendale
, Arizona 85308-1258
Mrs. Jeanette Maria Anderson
Geriatric Medicine
18589 N 59th Ave Ste. 101
Glendale
, Arizona 85308-1258
(623) 640-7116
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Mrs. Jeanette Maria Anderson
- 16170 W Dynamite Blvd
- Surprise, AZ
- Zip : 85387-6704
- Phone : (623) 640-7116
Second Address
- Mrs. Jeanette Maria Anderson
- 18589 N 59th Ave Ste. 101
- Glendale, AZ
- Zip : 85308-1258
- Fax : (480) 353-2201
- Phone : (480) 353-2200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RG0300X | Geriatric Medicine | 10240A | WY |
| Y | 207RG0300X | Geriatric Medicine | 32765 | AZ |
National Provider Identifier
| NPI | 1104878875 |
|---|---|
| Provider Name | Mrs. Jeanette Maria Anderson |
| First Address | Surprise, AZ 85387-6704 |
| Second Address | Glendale, AZ 85308-1258 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 26/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I17489 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.