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Individual

ANDREW F. MALEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8977
(912) 350-7036
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8977
(912) 350-7036

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
ARNP9224095
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN259041
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
FLORIDA BC/BS
FL
05
PENDING
FL
Enumeration date
06/23/2009
Last updated
08/16/2016
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