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NPI Code Detail

MEDICARE: MS. LANA LOUISE ANDERSEN CRNFA

MEDICARE:  MS. LANA LOUISE ANDERSEN  CRNFA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SP2800XPerioperative Clinical Nurse SpecialistRN050320AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588643084
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LANA LOUISE ANDERSEN CRNFA
Provider Business Mailing Address
First Line : PO BOX 39482
Second Line :
City : PHOENIX
State : AZ
Zip : 85069-9482
Country : US
Telephone Number : 602-942-6166
Fax Number : 602-942-6188
Provider Business Practice Location Address
First Line : 1802 W EL CAMINITO DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-5257
Country : US
Telephone Number : 602-942-6166
Fax Number : 602-942-6188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 07/09/2007

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Directions to “ MS. LANA LOUISE ANDERSEN CRNFA” Practice Location

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