Individual
WAYNE FLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 551-1795
Mailing address
1817A MADISON ST, STE 1, CLARKSVILLE, TN 37043-2930
(931) 551-1795
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
055138
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910775
—
AL
05
—
3631917
—
TN
01
—
4048925
BCBS NUMBER
TN
05
—
74006248
—
KY
Enumeration date
07/26/2005
Last updated
01/12/2009
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