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NPI Code Detail

MEDICARE: DAVID M ANDERSON CRNA

MEDICARE: DAVID M ANDERSON CRNA
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
1163W00000XRegistered Nurse108154IA
2367500000XCertified Registered Nurse AnesthetistD108154IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
107943OTHERIABLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841230166
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID M ANDERSON CRNA
Provider Business Mailing Address
First Line : 1207 NIGHTINGALE PL
Second Line :
City : BOONE
State : IA
Zip : 50036-7610
Country : US
Telephone Number : 515-432-4036
Fax Number :
Provider Business Practice Location Address
First Line : 800 OHIO ST
Second Line :
City : WEBSTER CITY
State : IA
Zip : 50595-2824
Country : US
Telephone Number : 515-832-9400
Fax Number : 515-832-9420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 09/11/2025

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