Individual
DAUREEN K BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1755 KIRBY PKWY, MEMPHIS, TN 38120-4398
(901) 725-5846
(901) 726-4827
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
(325) 670-4040
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
11951
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP127584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00527025
—
MS
05
—
3935986
—
TN
01
—
4134142
BCBS
TN
01
—
P00440722
RR MEDICARE
TN
Enumeration date
05/17/2006
Last updated
07/21/2022
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