Individual
FAWN MARIE HOLSOMBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2113
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
20021
TN
367500000X
Certified Registered Nurse Anesthetist
RN1016076
DC
Other
Enumeration date
02/17/2012
Last updated
03/16/2022
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