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Individual

MRS. MISTY COGGINS HANDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
055130
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009912325
AL
05
3631788
TN
01
4049479
BCBS NUMBER
TN
05
74005448
KY
Enumeration date
07/21/2005
Last updated
08/08/2013
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