Individual
MRS. TERRI LEE BROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9940 SHORE DR, SODDY DAISY, TN 37379-3550
(423) 842-2881
(423) 843-3901
Mailing address
9940 SHORE DR, SODDY DAISY, TN 37379-3550
(423) 842-2881
(423) 843-3901
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000009211
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3607844
—
TN
Enumeration date
07/27/2006
Last updated
07/08/2007
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