Provider Demographics
NPI:1720676992
Name:NORTH, ANDERSON ELEANOR (RN)
Entity Type:Individual
Prefix:
First Name:ANDERSON
Middle Name:ELEANOR
Last Name:NORTH
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 1:254 9TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3708
Mailing Address - Country:US
Mailing Address - Phone:561-348-4550
Mailing Address - Fax:
Practice Address - Street 1:254 9TH ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3708
Practice Address - Country:US
Practice Address - Phone:561-348-4550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9436082163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse