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Individual

ANDI MARIE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3340 PLAYERS CLUB PARKWAY, SUITE 350, MEMPHIS, TN 38125
(432) 967-5521
Mailing address
PO BOX 1018, ARLINGTON, TN 38002-1018
(432) 967-5521

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
143826
TX
367500000X
Certified Registered Nurse Anesthetist
28227075A
IN

Other

Enumeration date
01/02/2012
Last updated
09/04/2020
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