Individual
DONNA J SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 E. THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN30026
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN8657
TN
367500000X
Certified Registered Nurse Anesthetist
RN091622
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000572294A
—
GA
05
—
009709960
—
AL
05
—
1512183
—
TN
01
—
3049750
BLUE CROSS BLUE SHIELD OF TN
TN
01
—
430030830
RAILROAD MEDICARE
—
05
—
8052518
—
NC
01
—
N348389
WELLCARE (GA MEDICAID)
GA
Enumeration date
12/11/2006
Last updated
02/08/2010
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