Individual
KELLER PHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7671
Mailing address
1201 CHURCH ST APT 570, NASHVILLE, TN 37203-3687
(219) 776-8786
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0000242014
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
33193
TN
Other
Enumeration date
08/23/2021
Last updated
10/12/2023
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