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MERRI ANDERSON CRNA
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1356434476
Individual Registrant: MERRI ANDERSON CRNA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1200 MEMORIAL DR DALTON, GA 30720-2529 US
Tel: 706-272-6000 Fax: 706-226-2283
Tel: 706-272-6000 Fax: 706-226-2283
Contact information for business:
PO BOX 2563 DALTON, GA 30722-2563 US
Tel: 706-271-0100 Fax: 706-272-0487
Tel: 706-271-0100 Fax: 706-272-0487
Registration Information:
NPI: 1356434476
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163W00000X | Nursing Service Providers Registered Nurse | GA | RN119572 |
| Y | 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered | GA | RN119572 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000635005I | GA | 05 |
