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MICHELLE BERTRAM PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
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 37422-4776
(877) 288-1799
(865) 450-9374

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000155418
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN18925
TN
367500000X
Certified Registered Nurse Anesthetist
CRNA0823
AZ

Other

Enumeration date
10/17/2011
Last updated
09/08/2015
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