Individual
MR. JAMES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1610
(540) 741-2612
Mailing address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1610
(540) 741-2612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024176880
VA
367500000X
Certified Registered Nurse Anesthetist
10886
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3634639
—
TN
Enumeration date
04/26/2006
Last updated
10/28/2019
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