Individual
MRS. MARY ELIZABETH DEVASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA,
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 868-6503
Mailing address
1735 HUDSON RD, MADISON, TN 37115-5705
(615) 865-8664
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
18436
TN
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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