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Individual

MRS. SUZANNA B GREENWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN-CRNA

Contact information

Practice address
175 HOSPITAL DR, CAMDEN, TN 38320-1617
(731) 593-6300
(615) 620-2323
Mailing address
PO BOX 291264, NASHVILLE, TN 37229-1264
(615) 620-2320
(615) 620-2323

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN71210
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN11316
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3624344
TN
01
4129312
BC/BS TN - INTEGRATED
TN
01
4232052
BC/BS OF TN - SAC
TN
01
4236357
BLUE CROSS/BLUE SHIELD
TN
01
4243114
BC/BS OF TN - SAS
TN
Enumeration date
06/28/2006
Last updated
03/17/2018
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