Individual
GAYRON STEWART ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10094
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100036857
PHP TENNCARE
TN
05
—
3629871
—
TN
01
—
4026799
BLUECARE
TN
01
—
430068295
TRAVELERS MEDICARE
TN
Enumeration date
04/11/2006
Last updated
06/28/2010
Update your record
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