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Individual

MRS. CASEY HITT ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9253911
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009942242
AL
05
308290300
FL
01
59191944
BLUE CROSS BLUE SHIELD
AL
01
G4227
BLUE CROSS BLUE SHIELD
FL
01
P00407539
MEDICARE RAILROAD
FL
Enumeration date
03/27/2007
Last updated
10/09/2014
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