Individual
DR. STEVEN TAYLOR MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA, APRN
Contact information
Practice address
1924 ALCOA HWY # U109, KNOXVILLE, TN 37920-1511
(865) 305-9000
Mailing address
1924 ALCOA HWY # U109, KNOXVILLE, TN 37920-1511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
241120
TN
163W00000X
Registered Nurse
4704339812
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
34659
TN
367500000X
Certified Registered Nurse Anesthetist
4704339812
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
02/08/2023
Last updated
09/15/2023
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