Individual
SHERYL A IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN16027
TN
367500000X
Certified Registered Nurse Anesthetist
RN123511
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003113662A MH
—
GA
05
—
1525883
—
TN
01
—
4306592
BCBS OF TN
TN
01
—
P00983458
RAILROAD MEDICARE
—
Enumeration date
08/30/2011
Last updated
12/23/2011
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