Individual
CHELSEA MAUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9000
Mailing address
1000 BARDILL LN, KNOXVILLE, TN 37919-8015
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
189446
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
24918
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121459
CRNA ID
TN
Enumeration date
09/09/2018
Last updated
10/07/2019
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