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Individual

HEIDI BLAKE HARGIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
110 29TH AVE N STE 201, NASHVILLE, TN 37203-1458
(615) 327-4304
Mailing address
2630 ELM HILL PIKE STE 350, NASHVILLE, TN 37214-3176
(615) 425-4397
(615) 800-8613

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
21233
TN
367500000X
Certified Registered Nurse Anesthetist
COA14243NA
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0080770
OH
Enumeration date
01/22/2013
Last updated
04/06/2021
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