Individual
KATIE ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11176
WI
367500000X
Certified Registered Nurse Anesthetist
R189625-5
MN
Other
Enumeration date
07/13/2016
Last updated
03/23/2023
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