Individual
TATYANA TENENBOYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
50 STANIFORD STREET, C/O MA ANESTHESIA CORP, BOSTON, MA 02114
(248) 423-5100
Mailing address
P.O. BOX 372, C/O MA ANESTHESIA CORP, STOUGHTON, MA 02072-0372
(781) 341-3966
(781) 341-8269
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2265689
MA
367500000X
Certified Registered Nurse Anesthetist
4704205247
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104783761
—
MI
01
—
TT205247
BLUE CROSS OF MI
MI
Enumeration date
07/30/2006
Last updated
11/14/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us