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Individual
MRS. YVETTE LEE ANDERSON
Active
Individual
MRS. YVETTE LEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R078511
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
AP125514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345691501
—
TX
01
—
8248UK
BCBS
TX
01
—
P01473666
RR
TX
Enumeration date
04/07/2014
Last updated
06/17/2019
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