Individual
COURTNEY YVETTE LICUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Mailing address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 663-8523
(972) 663-8329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
291583
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
291583
TN
Other
Enumeration date
01/08/2026
Last updated
05/06/2026
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