Individual
TRAVIS M RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 602-8400
(423) 602-8401
Mailing address
PO BOX 2930, INDIANAPOLIS, IN 46206-2930
(844) 468-9496
(855) 630-1300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN16029
TN
367500000X
Certified Registered Nurse Anesthetist
RN153500
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525593
—
TN
01
—
4306429
BC BS OF TN
TN
Enumeration date
08/30/2011
Last updated
01/17/2019
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