Individual
NEIL W BUETTNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1995 HIGHWAY 51 S, COVINGTON, TN 38019-3635
(901) 382-1200
(901) 382-8070
Mailing address
PO BOX 506, CORDOVA, TN 38088-0506
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
901876
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
9840
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05629011
MEDICAID
MS
01
—
2041149
UHC
TN
05
—
3621368
—
TN
01
—
4288522
BLUE SHIELD TN
TN
05
—
Q057612
—
TN
Enumeration date
07/18/2006
Last updated
02/10/2026
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