Individual
SANDRA D BOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209002830
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
29190
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041241365
RN LICENSE
IL
01
—
045621
CCNA CERTIFICATION
—
Enumeration date
03/22/2006
Last updated
06/17/2022
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