Individual
AMANDA L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
6429 N DAMEN AVE APT 2S, CHICAGO, IL 60645-5617
(319) 572-0000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041.423729
IL
367500000X
Certified Registered Nurse Anesthetist
209018806
IL
367500000X
Certified Registered Nurse Anesthetist
27303
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
292106
AZ
Other
Enumeration date
12/05/2018
Last updated
04/18/2025
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