Individual
MR. STEPHEN JOSEPH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-2422
Mailing address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-2422
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3286261
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3286261
OHIO BOARD OF NURSING
OH
Enumeration date
02/04/2016
Last updated
02/04/2016
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