Individual
ELLEN RACHEL GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 HILLDALE DR, CHATTANOOGA, TN 37411-1806
(423) 802-1545
Mailing address
111 HILLDALE DR, CHATTANOOGA, TN 37411-1806
(423) 843-9252
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN0000149664
TN
163WN0800X
Neuroscience Registered Nurse
RN0000149664
TN
163WP0200X
Pediatric Registered Nurse
RN0000149664
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
20658
TN
367500000X
Certified Registered Nurse Anesthetist
GAA-CRNA000992
GA
Other
Enumeration date
06/19/2015
Last updated
12/14/2023
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