Individual
PETER G ANDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-6159
(928) 639-6561
Mailing address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-6631
(928) 649-7902
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101.0086894
VT
367500000X
Certified Registered Nurse Anesthetist
AP30007321
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0363
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804395
—
AZ
05
—
9648528
—
WA
Enumeration date
05/18/2006
Last updated
11/20/2012
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