Healthcare Provider Details

I. General information

NPI: 1780691451
Provider Name (Legal Business Name): BYRON K ANDERSON CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 WEST FAIRVIEW
ALBION NE
68620
US

IV. Provider business mailing address

PO BOX 151
ALBION NE
68620-0151
US

V. Phone/Fax

Practice location:
  • Phone: 402-395-2191
  • Fax: 402-395-5165
Mailing address:
  • Phone: 402-395-3213
  • Fax: 402-395-3173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number19895
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number100001
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: