Individual
MRS. TERRI W BELKNAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN64278
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10786
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052381637I
—
GA
05
—
109547
—
AL
05
—
3633850
—
TN
01
—
4094800
BCBS
TN
01
—
4216576
BLUE CROSS BLUE SHIELD OF TN
TN
Enumeration date
02/22/2006
Last updated
06/16/2009
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