Individual
RAMONA ANQUENETTE ANDERSON
Active
Individual
RAMONA ANQUENETTE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R063478
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C002753
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13637618
CAQH DATABASE
AR
05
—
177920001
—
AR
01
—
1861636011
AETNA HEALTHCARE
AR
01
—
5V169
BLUE CROSS BLUE SHIELD
AR
Enumeration date
04/30/2009
Last updated
11/17/2015
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