Individual
PATRICK LEE HERSCHELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 983-7211
(865) 983-8043
Mailing address
PO BOX 24776, CHATTANOOGA, TN 37422
(877) 288-1799
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001229638
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
10459
TN
367500000X
Certified Registered Nurse Anesthetist
140556
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100021714
PHP TENNCARE
TN
01
—
127254
BLUE CROSS
MO
05
—
3626241
—
TN
01
—
4096641
BLUE CROSS
TN
01
—
477005
HEALTHLINK
MO
05
—
915929715
—
MO
01
—
P00201599
MEDICARE TRAVELERS
TN
Enumeration date
06/20/2006
Last updated
11/21/2015
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