Individual provider · Type 1 NPI

Ander Boggs Antonelli, CRNA

Certified Registered Nurse Anesthetist · Fort Worth, TX

NPI number 1750923264 Active

Practice location

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122

Mailing address

PO Box 840853
Dallas, TX 75284-9641

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X901794 (TX)
Certified Registered Nurse Anesthetist Primary 367500000XAP145347 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1750923264

Ander Boggs Antonelli, CRNA's National Provider Identifier is 1750923264, issued on Oct 16, 2019. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 23, 2026.