Individual
ANDREAS JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9463225-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
8219
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407361322
—
WI
Enumeration date
12/14/2017
Last updated
08/15/2023
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