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Individual

CAROL TERESA MARRERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
(865) 541-2787
Mailing address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
8882
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100035882
PHP TENNCARE
TN
01
3042351
BLUECARE
TN
05
3606827
TN
01
43005069
MEDICARE TRAVELERS
TN
Enumeration date
06/20/2006
Last updated
06/28/2010
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