Individual
MARY BARR
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
Mailing address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.343611-COA1
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
22362
TN
367500000X
Certified Registered Nurse Anesthetist
COA.14223-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079629
—
OH
Enumeration date
01/16/2013
Last updated
07/21/2022
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