Individual
CHRISTOPHER MCCLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-081848
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
83988
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51002525
BCBS MCE
AL
01
—
51554470
BLUE CROSS STV
AL
05
—
891009230
—
AL
Enumeration date
07/21/2005
Last updated
01/20/2010
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