Individual
MATTHEW TOWNSEND MUSTARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1901 CLINCH AVE, KNOXVILLE, TN 37916-2307
(865) 331-1111
Mailing address
212 GWINHURST RD, KNOXVILLE, TN 37934-4500
(865) 201-7940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231532
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
39778
TN
Other
Enumeration date
08/20/2025
Last updated
09/23/2025
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