Individual
BRENAN VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-8550
Mailing address
1871 CLEAR BROOK CT, CHATTANOOGA, TN 37421-2784
(615) 852-2379
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
180787
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
123198
TN
Other
Enumeration date
08/20/2018
Last updated
10/09/2018
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