Individual
MS. BETTY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN8562
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10069719
AMERIGROUP
TN
05
—
3604232
—
TN
01
—
4036740
BCBS
TN
01
—
430073749
RAILROAD MEDICARE
TN
01
—
74170291
KY MEDICAID
TN
Enumeration date
06/14/2006
Last updated
07/12/2010
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