Individual
GRACE MIKAN BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4230 HARDING PIKE, NASHVILLE, TN 37205-2013
(615) 385-3704
(615) 292-1321
Mailing address
4230 HARDING PIKE, NASHVILLE, TN 37205-2013
(615) 385-3704
(615) 292-1321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
232808
SC
163W00000X
Registered Nurse
R231057
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
40915
TN
367500000X
Certified Registered Nurse Anesthetist
R231057
MD
Other
Enumeration date
12/29/2017
Last updated
03/25/2026
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