Individual
COURTNEY LOUISE LIVELY-MANYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 E 3RD ST # C-235, CHATTANOOGA, TN 37403-2147
(814) 243-0562
Mailing address
975 E 3RD ST # C-235, CHATTANOOGA, TN 37403-2147
(814) 243-0562
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
20779
TN
367500000X
Certified Registered Nurse Anesthetist
RN407225
OH
367500000X
Certified Registered Nurse Anesthetist
RN607077
PA
Other
Enumeration date
12/11/2014
Last updated
02/27/2018
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