Individual
MRS. BLAIR BOEVING CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1755 KIRBY PKWY, STE. 330, MEMPHIS, TN 38120-8300
(901) 725-5846
(901) 726-4827
Mailing address
4231 BARFIELD RD, MEMPHIS, TN 38117-1611
(901) 359-2512
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000158063
TN
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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