Individual
REBECCA M RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4713 PAPERMILL DR, KNOXVILLE, TN 37909-1908
(865) 696-2906
Mailing address
PO BOX 10941, KNOXVILLE, TN 37939-0941
(865) 696-2906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
109366
TN
367500000X
Certified Registered Nurse Anesthetist
045057
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
10078
TN
Other
Enumeration date
08/01/2006
Last updated
04/10/2023
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