Individual
MS. AMY CATHERINE DEMAREE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5588 TUCKER RD, DEPARTMENT OF SURGERY, COLLEGEDALE, TN 37315-1396
(423) 504-5669
(419) 783-4416
Mailing address
PO BOX 1355, 5588 TUCKER RD, COLLEGEDALE, TN 37315-1355
(423) 504-5669
(423) 504-5669
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
6372A
KY
367500000X
Certified Registered Nurse Anesthetist
APN0000014687
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.11444-NA
OH
367500000X
Certified Registered Nurse Anesthetist
RN188003
GA
Other
Enumeration date
03/26/2010
Last updated
11/21/2011
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