Individual
STACY GANN ALESSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
112725
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
APN12387
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000504378
BLUE CROSS
KY
05
—
9999999
—
KY
Enumeration date
12/08/2006
Last updated
05/19/2022
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