Individual
STEVEN TRENTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4000
Mailing address
126 WOODSIDE CT, JOHNSON CITY, TN 37615-3216
(423) 415-2881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000164151
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
19159
TN
Other
Enumeration date
07/23/2014
Last updated
03/17/2022
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