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Connie L Anderson, PA-C
Medical Physician Assistant in Omaha, Nebraska
NPI 1386651172

Connie L Anderson is a Medical Physician Assistant based in Omaha, NE and is specialized in Medical. Connie L Anderson practices in Omaha, NE and has the professional credentials of PA-C. The NPI Number for Connie L Anderson is 1386651172 and holds a License No. 640 (Nebraska).

The current practice location address for Connie L Anderson is 105 N 31St Ave, Omaha, NE and can be reached out via phone at 402-346-1111 and via fax at 402-408-0004.

Location: 105 N 31St Ave, Omaha, NE, 68131-2940
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Provider Profile Details
NPI Number
1386651172
Provider Name
Connie L Anderson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
105 N 31St Ave, Omaha, NE, 68131-2940
Phone Number
402-346-1111
Fax Number
402-408-0004
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37956 01 NE BCBS
970015303 01 RAILROAD MEDICARE
810 01 NE MIDLANDS
institution
Provider Business Practice Location Address Details
Address
105 N 31St Ave
City
State
Zip
68131-2940
Phone Number
402-346-1111
Fax Number
402-408-0004
person
Provider Business Mailing Address Details
Address
105 N 31St Ave
City
State
Zip
68131-2940
Phone Number
402-346-1111
Fax Number
402-408-0004
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
640 (Nebraska)
Definition
Definition to come...
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