Individual
OMALI LONGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN168925
TN
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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