Individual
ANDREA INFANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(847) 848-2630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
20948
TN
367500000X
Certified Registered Nurse Anesthetist
R203095
MD
Other
Enumeration date
10/25/2015
Last updated
04/29/2025
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