Individual
ELIZABETH DIVINA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, DNP
Contact information
Practice address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1200
Mailing address
130 LIBERTY LN, BATESVILLE, AR 72501-9675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
148794
AR
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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