Individual
STEPHANIE KONRAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
043104
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3057401
BCBS NUMBER
TN
05
—
3621383
—
TN
05
—
74431040
—
KY
Enumeration date
08/03/2005
Last updated
07/08/2007
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