Individual
VIVIAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-1000
Mailing address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-1000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
167251
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
D171117
IA
Other
Enumeration date
06/27/2022
Last updated
07/31/2024
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