Basic Information
| Provider Information | |||||||||
| NPI: | 1003001835 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ANDERSON | ||||||||
| FirstName: | EDITH | ||||||||
| MiddleName: | LEWIS | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | R. N., B. S. N. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 3708 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | BELLE CHASSE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700373002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043935624 | ||||||||
| FaxNumber: | 5043935633 | ||||||||
| Practice Location | |||||||||
| Address1: | 3708 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | BELLE CHASSE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700373002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043935624 | ||||||||
| FaxNumber: | 5043935633 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/14/2007 | ||||||||
| LastUpdateDate: | 09/14/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 094894 | LA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.