Individual
ALYCIA DAWN ANDERSSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3500 MOTLEY DR, MESQUITE, TX 75150-2504
(972) 698-3300
Mailing address
6553 VANDERBILT AVE, DALLAS, TX 75214-3422
(214) 824-5360
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
054490
TX
Other
Enumeration date
10/08/2005
Last updated
07/08/2007
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