Individual
MARY DANA TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
(865) 541-2787
Mailing address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
11245
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11007066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100042190
PHP TENNCARE
TN
05
—
3621826
—
TN
01
—
4088461
BLUECARE
TN
01
—
P00175797
TRAVELERS MEDICARE
TN
Enumeration date
04/06/2006
Last updated
12/06/2022
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