Individual
LAURA BUNCE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
110 29TH AVE N, SUITE 301, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N, SUITE 301, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1135240
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
21041
TN
367500000X
Certified Registered Nurse Anesthetist
3007874
KY
Other
Enumeration date
01/18/2013
Last updated
11/07/2024
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