Individual
RICHARD C MOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
Mailing address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3015765
KY
367500000X
Certified Registered Nurse Anesthetist
78185
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100488
—
AL
05
—
3600260
—
TN
01
—
620931432
TRICARE REGION SOUTH
TN
Enumeration date
01/02/2008
Last updated
04/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us