Individual
SHONTANAY ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1000
Mailing address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
23030130
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
14383
WI
Other
Enumeration date
08/26/2021
Last updated
11/27/2023
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