Individual
JAMES L ANDERSON
Active
Individual
JAMES L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01508
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157558001
—
AR
01
—
5Y150
BLUE CROSS BLUE SHIELD
AR
01
—
P00185006
RAILROAD MEDICARE
AR
Enumeration date
09/29/2005
Last updated
02/26/2015
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