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Individual

ANDREW H VEJNOSKA

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) 639-6150
(928) 639-6561
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0703
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
565887
AZ
Enumeration date
08/20/2008
Last updated
09/11/2020
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