Mrs. Kisha Tamara Anderson
Nurse Practitioner - Women's Health
151 Washington St
Newark
, New Jersey 07102-3026
Mrs. Kisha Tamara Anderson
Nurse Practitioner - Women's Health
151 Washington St
Newark
, New Jersey 07102-3026
(973) 399-5265
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Mrs. Kisha Tamara Anderson
- 312 Stuyvesant Ave
- Newark, NJ
- Zip : 07106-3637
- Phone : (973) 399-5265
Second Address
- Mrs. Kisha Tamara Anderson
- 151 Washington St
- Newark, NJ
- Zip : 07102-3026
- Fax : (973) 622-1698
- Phone : (973) 622-3900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 26NN11131200 | NJ |
National Provider Identifier
| NPI | 1003881103 |
|---|---|
| Provider Name | Mrs. Kisha Tamara Anderson |
| First Address | Newark, NJ 07106-3637 |
| Second Address | Newark, NJ 07102-3026 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2006 |
| Last Update Date | 13/07/2011 |
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.