Individual
DARREN BRADLEY DRENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN57966
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN9200
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000865334D
—
GA
05
—
109646
—
AL
05
—
1512402
—
TN
05
—
3601693
—
TN
01
—
4216523
BLUE CROSS BLUE SHIELD OF TN
TN
01
—
430056762
RAILROAD MEDICARE
TN
05
—
8053519
—
NC
Enumeration date
11/10/2005
Last updated
07/30/2010
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