Individual
LAURA A. TYNDALL
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) 602-8400
(423) 602-8401
Mailing address
PO BOX 2930, INDIANAPOLIS, IN 46206-2930
(844) 468-9496
(855) 630-1300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN59978
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10743
TN
367500000X
Certified Registered Nurse Anesthetist
RN142582
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000801908A
—
GA
05
—
009930325
—
AL
01
—
3109914
BLUE CROSS BLUE SHIELD OF TN
TN
05
—
3627259
—
TN
01
—
430048582
RAILROAD MEDICARE
—
05
—
8052324
—
NC
01
—
N471843
WELLCARE (GA MEDICAID)
GA
Enumeration date
03/26/2007
Last updated
10/03/2017
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