Individual
MICHELLE D HERSCHELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 983-7211
(865) 983-8043
Mailing address
PO BOX 24776, CHATTANOOGA, TN 37422-4776
(877) 288-1799
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001229574
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
11056
TN
367500000X
Certified Registered Nurse Anesthetist
2002009396
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100047351
PHP TENNCARE
TN
01
—
127254
BLUE SHIELD
MO
05
—
3634482
—
TN
01
—
4102268
BLUE CROSS
TN
01
—
786102
HEALTHLINK
MO
05
—
915470207
—
MO
01
—
P00258740
TRAVELERS MEDICARE
TN
Enumeration date
04/06/2006
Last updated
11/23/2015
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