Betty Anderson, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Goodlettsville, TN

NPI 1992748032 · NPPES record last updated Jul 12, 2010

Key facts

NPI
1992748032
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
APN8562 (TN)
Practice address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone
(615) 851-6033
Fax
(615) 851-2018
NPI assigned
Jun 14, 2006
Sex
Female
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
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN8562TNMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN8562 TN Yes

Addresses

Primary practice location

3024 Business Park Cir
Goodlettsville, TN 37072-3132

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Other identifiers

IdentifierTypeStateIssuer
4036740OtherTNBCBS
3604232MedicaidTN
10069719OtherTNAMERIGROUP
430073749OtherTNRAILROAD MEDICARE
74170291OtherTNKY MEDICAID

Other providers in Goodlettsville, TN

All providers in Goodlettsville, TN · Certified Registered Nurse Anesthetist in Tennessee

Sources for this page

Verify at the official NPI Registry.