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Individual

FAIRRA RODDY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
023013
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3057449
BCBS NUMBER
TN
05
3603710
TN
05
74230137
KY
Enumeration date
09/22/2005
Last updated
07/08/2007
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