Individual
MEGAN MAE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
2324 BUENA VISTA DR, RAPID CITY, SD 57702
(605) 484-7935
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000884
SD
Other
Enumeration date
04/09/2015
Last updated
04/14/2015
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