Vivian Anderson, | |
1221 S Gear Ave, West Burlington, IA 52655-1679 | |
(319) 768-1000 | |
Not Available |
Full Name | Vivian Anderson |
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Gender | Female |
Speciality | Registered Nurse - Critical Care Medicine |
Location | 1221 S Gear Ave, West Burlington, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063144210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 167251 (Iowa) | Primary |
Entity Name | Southeast Iowa Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
Mailing Address | Practice Location Address |
---|---|
Vivian Anderson, 1221 S Gear Ave, West Burlington, IA 52655-1679 Ph: (319) 768-1000 | Vivian Anderson, 1221 S Gear Ave, West Burlington, IA 52655-1679 Ph: (319) 768-1000 |
Ji Min Jung, Registered Nurse Medicare: Medicare Enrolled Practice Location: 1221 S Gear Ave, West Burlington, IA 52655 Phone: 319-768-1000 | |
Jennifer Shelton, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1221 S Gear Ave, West Burlington, IA 52655 Phone: 319-768-1000 | |
Ms. Charissa Sallie Elliott, FNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 1706 W Agency Rd, West Burlington, IA 52655 Phone: 319-768-5858 Fax: 319-752-4653 | |
Jennifer Lin Clark, ARNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1201 W Agency Rd, West Burlington, IA 52655 Phone: 319-754-4242 | |
Mrs. Whitney Amelia Hall, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1223 S Gear Ave Ste 109, West Burlington, IA 52655 Phone: 319-768-1820 |