Individual
BRYAN HURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
(865) 541-2787
Mailing address
5118 MCDONALD RD, COLLEGEDALE, TN 37315
(423) 396-9745
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
76623
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100025472
PHP TENNCARE
TN
05
—
3620504
—
TN
01
—
4046037
BLUE CROSS
TN
01
—
430074986
TRAVELERS MEDICARE
TN
Enumeration date
04/11/2006
Last updated
04/22/2010
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