Andrus, Leslie Michael

Andrus, Leslie Michael is an individual health care provider with primary practice located at 131 Saundersville Rd Suite 160, Hendersonville TN 37075-8903. 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. Andrus, Leslie Michael can be contacted via phone (615) 824-3737.

Contact Information

Primary practice address
131 Saundersville Rd Suite 160 Hendersonville TN 37075-8903
Phone: (615) 824-3737
Fax: (888) 687-6133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN10367 Tennessee

Profile Details

NPI number 1396785788
LBN Legal business name Andrus, Leslie Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jan 17th, 2014 - about 11 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 1396785788 NPPES
Tennessee Other 10069712 AMERIGROUP
Tennessee Other 4076433 AMERIGROUP
Tennessee Other P00148038 AMERIGROUP
Tennessee Other 74008624 AMERIGROUP
Tennessee MEDICAID 3630064 AMERIGROUP

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