Individual
NANCY L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2517 NE KRESKY AVE, CHEHALIS, WA 98532-2409
(360) 748-8632
(360) 748-8632
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30000186
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430024324
RAILROAD MEDICARE
WA
01
—
430057465
RAILROAD MEDICARE
ID
01
—
430057466
RAILROAD MEDICARE
WA
01
—
430057468
RAILROAD MEDICARE
WA
01
—
430057469
RAILROAD MEDICARE
AK
01
—
430057470
RAILROAD MEDICARE
OR
01
—
430072800
RAILROAD MEDICARE
ID
01
—
430072989
RAILROAD MEDICARE
MT
Enumeration date
07/11/2006
Last updated
05/21/2010
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