Individual
MS. DONNA T BUNDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 THE VANDERBILT CLINIC ANESTHESIA DEPT, NASHVILLE, TN 37232-3750
(615) 322-3000
Mailing address
719 THOMPSON LN, NASHVILLE, TN 37204-3609
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-031170
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1031170
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051526375
—
AL
01
—
51526375
BCBSAL #
AL
Enumeration date
06/26/2006
Last updated
01/07/2019
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