Individual
KATIE ELIZABETH SANDEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 233-7750
Mailing address
14 W HUNTINGTON DR, MARYVILLE, IL 62062-6734
(618) 304-1689
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.021414
IL
367500000X
Certified Registered Nurse Anesthetist
APN.0999605-CRNA
CO
Other
Enumeration date
06/15/2020
Last updated
11/11/2024
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