Anderson, Joann

Anderson, Joann is an individual health care provider with primary practice located at 2200 E Show Low Lake Rd , Show Low AZ 85901-7881. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Anderson, Joann can be contacted via phone (928) 368-8118.

Contact Information

Primary practice address
2200 E Show Low Lake Rd Show Low AZ 85901-7881
Phone: (928) 368-8118
Fax: (928) 368-8121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN025318 Arizona

Profile Details

NPI number 1700859162
LBN Legal business name Anderson, Joann
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Dec 6th, 2007 - about 18 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 1700859162 NPPES
Arizona MEDICAID 497843

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