NPI 1205566304

Mark Anderson, CRNA

Practitioner Certified Registered Nurse Anesthetist Apo, AE

Practice location

Address: 48 Mdg Opc 41 Box 15, Apo, AE 09461
Phone: (712) 363-0889

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 95001826 (CA)

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Registry record

NPI: 1205566304
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2022
Record last updated: 17 Jun 2026

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.