Andersen, Lana Louise

Andersen, Lana Louise is an individual health care provider with primary practice located at 1802 W El Caminito Dr , Phoenix AZ 85021-5257. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Perioperative, which is considered as her primary health care specialty. Andersen, Lana Louise can be contacted via phone (602) 942-6166.

Contact Information

Primary practice address
1802 W El Caminito Dr Phoenix AZ 85021-5257
Phone: (602) 942-6166
Fax: (602) 942-6188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Perioperative 364SP2800X RN050320 Arizona

Profile Details

NPI number 1588643084
LBN Legal business name Andersen, Lana Louise
Credentials Certified Registered Nurse, First Assistant (CRNFA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588643084 NPPES
Arizona MEDICAID 381707

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