Individual
MS. LYNDA JANE ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 29TH AVE N, SUITE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N, SUITE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN9221
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10071320
AMERIGROUP
TN
05
—
3602447
—
TN
01
—
4102244
BCBS
TN
01
—
74397043
KY MEDICAID
KY
01
—
P00273611
RAILROAD MEDICARE
TN
Enumeration date
06/15/2006
Last updated
11/06/2015
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