Andress, Peter G

Andress, Peter G is an individual health care provider with primary practice located at 269 S Candy Ln , Cottonwood AZ 86326-4158. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Andress, Peter G can be contacted via phone (928) 639-6159.

Contact Information

Primary practice address
269 S Candy Ln Cottonwood AZ 86326-4158
Phone: (928) 639-6159
Fax: (928) 639-6561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30007321 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA0363 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 101.0086894 Vermont

Profile Details

NPI number 1508819855
LBN Legal business name Andress, Peter G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 20th, 2012 - about 13 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 1508819855 NPPES
Arizona MEDICAID 804395
Arizona MEDICAID 9648528

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