Individual
MR. GARY WAYNE SADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 29TH AVE N, SUITE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N, SUITE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
55790
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
9162
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10069825
AMERIGROUP
TN
05
—
3601592
—
TN
01
—
4011170
BCBS
TN
01
—
430062931
RAILROAD MEDICARE
TN
01
—
74005109
KY MEDICAID
KY
Enumeration date
06/14/2006
Last updated
11/06/2015
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