is a Nurse Anesthetist, Certified Registered in La Follette, Tennessee. practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for is 1225140320. The last update date is .
's current location address is 919 E Central Ave, La Follette, Tennessee. You can contact this provider via phone number 4239071553 and fax number 8657770910. The mailing address for is 919 E Central Ave, La Follette, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 919 E Central Ave, La Follette, Tennessee |
| Phone Number | 4239071553 |
| Fax Number | 8657770910 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1225140320 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 919 E Central Ave |
|---|---|
| City | La Follette |
| State | Tennessee (TN) |
| Post Code | 377662777 |
| Phone Number | 4239071553 |
| Fax Number | 8657770910 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | RN0000033906 |
|
Definition: (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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3608552 | TN | -- |
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