Provider Demographics
NPI:1154862811
Name:ANDERSON, HOPE (RN)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 W COLLEGE ST
Mailing Address - Street 2:APT. 20
Mailing Address - City:OBERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44074-1466
Mailing Address - Country:US
Mailing Address - Phone:440-574-3718
Mailing Address - Fax:
Practice Address - Street 1:526 W COLLEGE ST
Practice Address - Street 2:APT. 20
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074-1466
Practice Address - Country:US
Practice Address - Phone:440-574-3718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH427001163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse