Individual
RUTH M TRIVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1559 SPARTA RD, RIVER PARK HOSPITAL, MCMINNVILLE, TN 37110
(423) 855-0700
Mailing address
5751 UPTAIN RD STE 100, CHATTANOOGA, TN 37411
(423) 855-0700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN8551
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3051662
BLUE CROSS BLUE SHIELD
TN
05
—
3601146
—
TN
Enumeration date
10/24/2006
Last updated
10/30/2007
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