Individual
LAUREY A BLINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 E THIRD S, CHATTANOOGA, TN 37403-2147
(423) 778-7806
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN46262
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN08979
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000580577A
—
GA
05
—
009932465
—
AL
01
—
3049756
BLUE CROSS BLUE SHIELD TN
TN
05
—
3602968
—
TN
01
—
430030817
RAILROAD MEDICARE
TN
05
—
8052434
—
NC
01
—
N366479
WELLCARE (GA MEDICAID)
GA
Enumeration date
11/26/2006
Last updated
01/20/2010
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