Individual
YVETTE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11085 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-2983
(410) 730-0099
Mailing address
11085 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-2983
(410) 730-0099
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R142417
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241701400
—
MD
01
—
454MH925
TRAILBLAZER
MD
Enumeration date
06/28/2005
Last updated
02/19/2013
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