Individual
THERESA C BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
324 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 329-4401
(615) 327-9612
Mailing address
324 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 329-4401
(615) 327-9612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
108041
TN
163W00000X
Registered Nurse
GAA-CRNA001054
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
001054
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3625507
—
TN
Enumeration date
03/09/2006
Last updated
02/17/2025
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