NPI 1134947385
Shania Rae Anderson
Practice location
- Address
- 720 W Chestnut St, Bloomington, IL 61701-2814
- Phone
- (309) 557-1400
- Mailing address
- 448 Wylie Dr, Normal, IL 61761-5405
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1134947385
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Sep 2024
- Record last updated
- 27 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.