MR. MARK DAVID ANDERSON ARNP
NPI 1295285419
Nurse Practitioner - Family in Tacoma, WA
Active since October 12, 2016
About Mr. Mark David Anderson Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK DAVID ANDERSON ARNP (NPI 1295285419) is an individual family provider in Tacoma, Washington, licensed in Washington (AP60701891) and active in the NPI registry since October 2016.
NPPES Registry Identity
NPI1295285419
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MARK DAVID ANDERSONCredential: ARNP
Location Address9040 JACKSON AVENUETacoma, WA 98431-1647
Mailing Address9040 Jackson AvenueTacoma, WA 98431-1100
Phone(253) 968-1484
Sole ProprietorNo
Enumeration DateOctober 12, 2016
Last NPPES UpdateFebruary 19, 20192 updates tracked since enumeration
✔ NPI 1295285419 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60701891
9040 JACKSON AVENUE, Tacoma, WA 98431
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychologist (Clinical)
9040 JACKSON AVENUE, DEPARTMENT OF PEDIATRICS
FORT LEWIS, WA 98431
FORT LEWIS, WA 98431
Registered Nurse
9040 JACKSON AVENUE, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
TACOMA, WA 98431
Registered Nurse
9040 JACKSON AVENUE, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
TACOMA, WA 98431
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295285419, enumerated as an "individual" on October 12, 2016.
The provider is located at 9040 JACKSON AVENUE TACOMA, WA 98431 and the phone number is (253) 968-1484.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.