Individual
JENNIFER SUSAN ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4519 N GARFIELD ST, STE 15, MIDLAND, TX 79705-3415
(432) 699-0225
Mailing address
4519 N GARFIELD ST, STE 15, MIDLAND, TX 79705-3415
(432) 699-0225
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001228267
TX
367500000X
Certified Registered Nurse Anesthetist
0024169313
VA
Other
Enumeration date
04/08/2011
Last updated
07/10/2014
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