Individual
MRS. CHAWNA RENEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
Mailing address
6043 W BANFF LN, GLENDALE, AZ 85306-3851
(602) 595-1021
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP036664
AZ
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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