Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1790758795
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 501041
SAINT LOUIS, MO 631500001
Phone: (660) 826-5960
Fax: (660) 826-4852
Type: Mailing
Tennova Healthcare - Dyersburg Regional, 400, East Tickle Street, Dyersburg, Dyer County, Tennessee, 38024, United States
DYERSBURG, TN 380243120
Phone: (731) 285-2410
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63150)
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