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Individual

CYNTHIA ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
(865) 541-2787
Mailing address
501 20TH STREET, SUITE 606, KNOXVILLE, TN 37916
(865) 546-8040
(865) 541-2787

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11817
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100050257
PHP TENNCARE
TN
01
3636013
TRAVELERS MEDICARE
TN
05
3636013
TN
01
4118653
BLUE CROSS
TN
Enumeration date
09/15/2006
Last updated
09/28/2010
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