Individual
RENEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631
(970) 350-6399
(970) 378-4687
Mailing address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 350-6399
(970) 378-4687
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0000644-CRNA
CO
367500000X
Certified Registered Nurse Anesthetist
CRA-644
CO
367500000X
Certified Registered Nurse Anesthetist
R46512
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07530207
—
CO
01
—
10001388
LOVELACE HEALTH/SALUD
NM
01
—
201033429
PRESBYTERIAN HEALTH/SALUD
NM
01
—
897837
AHCCCS
AZ
05
—
E0548
—
NM
01
—
NM009S64
BC/BS
NM
01
—
PROVP11218
MOLINA
NM
Enumeration date
01/05/2006
Last updated
08/30/2018
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