NPI 1215957469

Athan Anderson

Practitioner Basic Emergency Medical Technician Portsmouth, VA

Practice location

Address: 4000 Coast Guard Blvd, Portsmouth, VA 23707-2199
Phone: (757) 483-8710
Fax: (757) 483-8716
Mailing address: 1324 Darien Court, Virginia Beach, VA 23464-8808

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence B1625287 (CA)

Other Emergency Medical Technician, Basic providers in Virginia →

Registry record

NPI: 1215957469
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2006
Record last updated: 8 Jul 2007

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.