Individual
REGINA K WELBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2051 HAMILL RD, HIXSON, TN 37343
(423) 495-7100
(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
APN12470
TN
367500000X
Certified Registered Nurse Anesthetist
RN80401
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3638644
—
TN
01
—
4146597
BCBS OF TN
—
01
—
P00398193
RAILROAD MEDICARE
—
Enumeration date
02/05/2007
Last updated
06/21/2018
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