Individual
TRAVIS DERRICK WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
341 TRANE DR, KNOXVILLE, TN 37919-6053
(865) 588-0880
Mailing address
341 TRANE DR, KNOXVILLE, TN 37919-6053
(865) 588-0880
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
16001
TN
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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