Individual
DR. MARK TIMOTHY CRESAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1901 CLINCH AVE, KNOXVILLE, TN 37916-2307
(865) 541-1111
Mailing address
7357 LUCKY CLOVER LN, KNOXVILLE, TN 37931-2236
(423) 215-2613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000198584
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
32505
TN
Other
Enumeration date
06/08/2022
Last updated
10/12/2022
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