Individual
LESLIE E VIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
410 N CEDAR BLUFF RD, STE 300, KNOXVILLE, TN 37923-3632
(865) 342-8900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
192049
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN17371
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4344300
BC BS OF TN
TN
Enumeration date
12/10/2010
Last updated
10/20/2016
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