Whalio Doctors

NPI 1295358810

Andrew James Standefer, CRNA

Practitioner Certified Registered Nurse Anesthetist Alton, IL

Practice location

Address
1 Memorial Dr, Alton, IL 62002-6722
Phone
(618) 463-7311
Mailing address
1206 Moreland CT, Moro, IL 62067-1559

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 209.021339 (IL)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 041.448411 (IL)

Registry record

NPI
1295358810
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 May 2020
Record last updated
25 May 2022

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.