Organization
BRIGHT NIGHT ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN DALE BRIGHT CRNA (OWNER)
(423) 202-2696
Entity
Organization
Contact information
Practice address
2328 KNOB CREEK RD, JOHNSON CITY, TN 37604-2100
(423) 639-0941
Mailing address
PO BOX 5210, JOHNSON CITY, TN 37602-5610
(423) 639-0941
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/30/2013
Last updated
01/16/2014
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