Individual
SHONTANAY ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
23030130
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
14383
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100248341
—
WI
Enumeration date
08/26/2021
Last updated
06/09/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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