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Organization

EVEXIA ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLINTON C PETERMAN CRNA (PRESIDENT)
(931) 397-5724
Entity
Organization

Contact information

Practice address
79 FAIRFIELD BLVD, CROSSVILLE, TN 38558-4417
(931) 484-3349
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620

Taxonomy

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

Other

Enumeration date
11/17/2025
Last updated
11/17/2025
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