Individual ProviderVanetta AndersonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1200 Sligh Blvd, Orlando, FL 32806-1108(407) 859-7239PECOS EnrollmentBased on the most recent information from CMS, provider Vanetta Anderson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1053660191Provider TypeIndividualFull NameAnderson, VanettaCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date9/5/2012Last Updated9/5/2012Contact InformationPractice LocationPractice Address1200 Sligh Blvd, Orlando, FL 32806-1108Phone(407) 859-7239FaxUnlisted FaxMailing LocationMailing Address1200 Sligh Blvd, Orlando, FL 32806-1108Phone(407) 859-7239FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9262349Florida