Individual
REBECCA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5614
(615) 322-3000
Mailing address
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204-4701
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000020771
TN
367500000X
Certified Registered Nurse Anesthetist
R169819
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409393300
—
MD
Enumeration date
06/16/2006
Last updated
11/25/2020
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