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Individual

MRS. LINDA ROBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2160
(901) 682-9522
Mailing address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2160
(901) 682-9522

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 075927
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN 10572
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0122608
MS
05
140578701
AR
05
3902256
TN
01
4014737
BLUE CROSS
TN
01
430073904
RAILROAD MEDICARE
TN
01
98371
BLUE CROSS
AR
Enumeration date
05/12/2006
Last updated
06/09/2011
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