Individual
ANDREW J ADDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 GREENLEY RD, SONORA, CA 95370-5200
(209) 770-4501
Mailing address
1000 GREENLEY RD, SONORA, CA 95370-5200
(209) 770-4501
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN95213005
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
67503
ID
Other
Enumeration date
03/06/2020
Last updated
04/02/2025
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