Individual
DANIEL N ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-103805
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110055
—
AL
01
—
1841430725
TRICARE
—
01
—
515-97033
BC BS OF AL
AL
01
—
P00825735
RAILROAD MEDICARE
AL
Enumeration date
03/04/2009
Last updated
06/28/2010
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