Individual
DEREK NEICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(703) 595-5207
Mailing address
1605 54TH AVE N APT 313, NASHVILLE, TN 37209-1588
(703) 595-5207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
212385
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
C-APN.0101671-C-CRNA
CO
Other
Enumeration date
10/21/2021
Last updated
02/18/2024
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