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PETRONA FANTELLA ANDERSON
NPI 1528577640
Counselor - Professional in Apo, AP

Active since September 20, 2017

NPPES record last updated: May 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2024, Sep 20, 2017 (2 updates tracked since 2017).

About Petrona Fantella Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETRONA FANTELLA ANDERSON (NPI 1528577640) is an individual professional provider in Apo, AP, licensed in Georgia (LPC009066) and active in the NPI registry since September 2017. She maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1528577640
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePETRONA FANTELLA ANDERSON
Location AddressUNIT 15245Apo, AP 96271-5245
Mailing AddressPsc 444 Box 2485Apo, AP 96297-0025 · (706) 951-4498
Phone(315) 737-5677
Sole ProprietorNo
Enumeration DateSeptember 20, 2017
Last NPPES UpdateMay 5, 20242 updates tracked since enumeration
NPPES CertifiedMay 5, 2024
✔ NPI 1528577640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC009066
UNIT 15245, Apo, AP 96271
Open in Google Maps ↗

Other Names 1

Other Name (5)Petrona Fantella Anderson-ford

Secondary Practice Location 1

Location 15005 North Piedras Street, WBAMCEL PASO, TX 79920-5001 · Phone (915) 569-4890

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.

HYEON MYONG TSOU PARK
Physical Therapist
UNIT 15245
APO, AP 96271
No phone listed
JI WOONG JEONG DDS
Dentist (General Practice)
UNIT 15245
APO, AP 96271
(315) 737-1411
WILLIAM TYLER BARTON DSC, PA-C
Emergency Medicine
UNIT 15245
APO, AP 96271
(315) 737-1411
JUNGMIN CHO D.M.D
Dentist (Pediatric Dentistry)
UNIT 15245
APO, AP 96271
(315) 737-9293
MS. SARAH KYUNGA AN ARNP
Nurse Practitioner
UNIT 15245
APO, AP 96271
(315) 737-4278
NA YEUN PARK BURKHOLDER NP
Nurse Practitioner (Family)
UNIT 15245
APO, AP 96271
(315) 737-2019
DORENE LUKE-WALTON
Pharmacist
UNIT 15245
APO, AP 96271
(315) 737-2022
DR. JOSEPH RAE PARK M.D.
Anesthesiology
UNIT 15245
APO, AP 96271
(315) 737-1341

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petrona Anderson's NPI number?

The NPI number for Petrona Anderson is 1528577640. It was assigned to this individual provider in the NPPES registry on September 20, 2017. The provider is also known as Petrona Fantella Anderson-Ford.

Where is Petrona Anderson located?

Petrona Anderson practices at Unit 15245, Apo, AP 96271. The listed phone number is (315) 737-5677.

What is Petrona Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Petrona Anderson was last updated on May 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.