Individual
ANDREW CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3610 RICHMOND CIR, GRAND ISLAND, NE 68803-3927
(308) 384-6400
Mailing address
PO BOX 5524, GRAND ISLAND, NE 68802-5524
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101159
NE
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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