Individual
CORAZON N PADUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5744 NANJACK CIR, MEMPHIS, TN 38115-2061
(901) 797-9711
(901) 797-9771
Mailing address
2811 ROCKCREEK PKWY, CORDOVA, TN 38016-4656
(901) 388-7706
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
36692
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3089050
BCBS
TN
05
—
3631751
—
TN
Enumeration date
04/25/2006
Last updated
06/27/2013
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