Individual
MARK FRIZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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
047416
TN
367500000X
Certified Registered Nurse Anesthetist
28158707A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3057308
BCBS NUMBER
TN
05
—
3625518
—
TN
05
—
74474164
—
KY
Enumeration date
07/28/2005
Last updated
11/08/2017
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