Individual
MARK AMONETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1310 24TH AVE SOUTH, NASHVILLE, TN 37212-2637
(615) 327-5390
(615) 321-6359
Mailing address
1301 STRATFORD AVE, NASHVILLE, TN 37216
(615) 226-5047
(615) 321-6359
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
049658
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000010560
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3111785
BCBS NUMBER
TN
05
—
3627617
—
TN
Enumeration date
07/18/2005
Last updated
07/08/2007
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