Allan Anderson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Shelby, NC
NPI 1114017308 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114017308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 042412 (NC)
- Practice address
- 201 E Grover St
Shelby, NC 28150-3917 - Phone
- (704) 476-7445
- Fax
- (704) 476-7417
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042412 | NC | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 042412 | NC | Yes |
Addresses
Primary practice location
201 E Grover St
Shelby, NC 28150-3917
Mailing address
201 E Grover St
Shelby, NC 28150-3917
Phone (704) 476-7445
Other providers in Shelby, NC
- Alternatives Residential Care Homes
- Altruistic Home Care Agency LLC
- Leslie Hope Amador
- Amazing Minds Theraptic Care
- American DTC LLC
- Christian Gyan Anderson
- Nancy Elaine Anderson
- Haley Jenelle Angel
- Olia Angelova
- Jennifer Anselmo
All providers in Shelby, NC · Certified Registered Nurse Anesthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.