Individual
MR. WARREN JEFFREY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3150 N CAUSEWAY BLVD, SUITE 404, METAIRIE, LA 70002-4810
(504) 779-5515
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RN080277
AL
367500000X
Certified Registered Nurse Anesthetist
AP04032
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1153427
—
LA
01
—
P00399837
RAILROAD MEDICARE
LA
Enumeration date
05/19/2006
Last updated
11/18/2011
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