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Individual

BJARNE M BORRESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
410 N CEDAR BLUFF RD, SUITE 300, KNOXVILLE, TN 37923-3623
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 535575, ATLANTA, GA 30353-5595
(865) 342-8900
(865) 691-0843

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN12376
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209650629A
GA
05
209650629B
GA
05
209650629C
GA
05
209650629D
GA
05
209650629E
GA
05
3638378
TN
01
4144907
BCBS OF TN
TN
01
P00390322
RAILROAD MEDICARE
Enumeration date
01/25/2007
Last updated
01/12/2016
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