Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Petula Anesia Anderson, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1093109209

Mrs. Petula Anesia Anderson, REGISTEREDNURSE is a Registered Nurse in Hicksville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

20 Jerusalem Ave 3rd Fl
Hicksville, NY 11801-4980
Phone: (516) 326-2020
Fax: (516) 719-7373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 695171 (NY)

Record details

NPI number1093109209
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedMarch 25, 2015
Last updated in NPPESMarch 25, 2015

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