Provider Demographics
NPI:1457936445
Name:ANDERES, LENECE DARLENE (RN/ CASE MANAGER)
Entity Type:Individual
Prefix:
First Name:LENECE
Middle Name:DARLENE
Last Name:ANDERES
Suffix:
Gender:F
Credentials:RN/ CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 HUEBNER ROAD
Mailing Address - Street 2:
Mailing Address - City:FT. RILEY
Mailing Address - State:KS
Mailing Address - Zip Code:66442
Mailing Address - Country:US
Mailing Address - Phone:785-820-7987
Mailing Address - Fax:785-240-6047
Practice Address - Street 1:650 HUEBNER ROAD
Practice Address - Street 2:
Practice Address - City:FT RILEY
Practice Address - State:KS
Practice Address - Zip Code:66442-2759
Practice Address - Country:US
Practice Address - Phone:785-240-7570
Practice Address - Fax:785-240-6047
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS57610163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS163WCO400XOtherREGISTERED NURSE CASE MANAGER
KS163W00000XOtherREGISTERED NURSE