Andersen, Ryan

Andersen, Ryan is an individual health care provider with primary practice located at 975 E Third St , Chattanooga TN 37403-2147. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Andersen, Ryan can be contacted via phone (423) 602-8400.

Contact Information

Primary practice address
975 E Third St Chattanooga TN 37403-2147
Phone: (423) 602-8400
Fax: (423) 602-8401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN109710 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN10970 Tennessee

Profile Details

NPI number 1356417257
LBN Legal business name Andersen, Ryan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Mar 30th, 2016 - about 9 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 1356417257 NPPES
North Carolina MEDICAID 8052068
North Carolina MEDICAID 3633245
North Carolina MEDICAID 413484745A
North Carolina Other P00098720
North Carolina Other 4068615
North Carolina Other N348393

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