NPI 1073400420

Olive Anderson

Practitioner Contractor Council Bluffs, IA

Practice location

Address: 244 Benton St, Council Bluffs, IA 51503-3134
Phone: (402) 714-6829

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1073400420
Entity type: Individual
Sex (as registered): X
NPI issued: 19 Jun 2025
Record last updated: 19 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.