NPI 1437403730

Edgar Leopold Anderson, RN

Practitioner Registered Nurse Port Orange, FL

Practice location

Address: 1690 Dunlawton Ave STE 125, Port Orange, FL 32127-8980
Phone: (386) 793-5743
Fax: (386) 246-3661
Mailing address: 1690 Dunlawton Ave Suite 125, Port Orange, FL 32127-8979

Registered specialties (2)

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence RN 9229694 (FL)

Other Registered Nurse providers in Florida →

Addiction (Substance Use Disorder) Registered Nurse

Nursing Service Providers Taxonomy 163WA0400X Licence RN 9229694 (FL)

Registry record

NPI: 1437403730
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2012
Record last updated: 10 Nov 2012

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.