NPI 1104661453

Amanda Elizabeth Anderson, LPN

Practitioner Licensed Practical Nurse Federal Way, WA

Practice location

Address: 909 S 336th St STE 100, Federal Way, WA 98003-7394
Phone: (253) 661-5166

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LP61246095 (WA)

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Registry record

NPI: 1104661453
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2024
Record last updated: 27 Jun 2024

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.