Individual
TIMOTHY JAY CREPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4230 HARDING PIKE STE 435, NASHVILLE, TN 37205-4900
(615) 385-3704
Mailing address
4230 HARDING PIKE STE 435, NASHVILLE, TN 37205-4900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
222007
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
141243
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
08/21/2021
Last updated
01/11/2023
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