Individual
TANELLE DENISE SUMRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(855) 903-0985
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2025040490
MO
367500000X
Certified Registered Nurse Anesthetist
R794132
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119165
—
MS
Enumeration date
01/05/2006
Last updated
09/17/2025
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