Individual
DONNA LANETTE OFFICER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
(931) 490-7064
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(866) 612-5074
(334) 396-6929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
103320
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
103320
TN
Other
Enumeration date
06/27/2006
Last updated
02/22/2023
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