Active NPIIndividual provider

Shani L Anderson, NP, RN

Nurse Practitioner, Psych/Mental Health in Worcester, Massachusetts

NPI Number1811474596
Practice location
1280 Main St, Worcester, MA 01603-1801
Fax
—
Last updated
September 18, 2018

Shani Lee Anderson is a Nurse Practitioner, Psych/Mental Health based in Worcester, MA. Shani Lee Anderson practices in Worcester, MA and has the professional credentials of NP, RN. The NPI Number for Shani Lee Anderson is 1811474596 and holds a License No. RN2270119 (MA). The current practice location address for Shani Lee Anderson is 1280 Main St, Worcester, MA 01603-1801 and can be reached out via phone at 508-754-1141.

Provider Profile Details

NPI Number
1811474596
Provider Name
Shani Lee Anderson
Credential
NP, RN
Provider Entity Type
Individual
Gender
Female
Address
1280 Main St, Worcester, MA 01603-1801
Phone Number
508-754-1141
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2018
Last Update Date
September 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1280 Main St
Worcester, MA 01603-1801
Zip
01603-1801
Phone Number
508-754-1141
Worcester, MA 01603Get directions →

Provider Business Mailing Address Details

Address
1280 Main St
Worcester, MA 01603-1801
City
Worcester
State
MA
Zip
01603-1801
Phone Number
508-754-1141

License Information

Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
RN2270119
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shani L Anderson, NP, RN?

The NPI number of Shani L Anderson, NP, RN is 1811474596. It was assigned on July 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Shani L Anderson, NP, RN?

Shani L Anderson, NP, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2270119.

Where does Shani L Anderson, NP, RN practice?

The practice location is 1280 Main St, Worcester, MA 01603-1801. The office can be reached at 508-754-1141 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811474596 directly on the NPPES registry website.

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