Individual
MR. WILLIAM THOMAS TUCKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 29TH AVE N, SUITE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N, SUITE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
67644
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331131175
TAX ID
TN
Enumeration date
04/10/2006
Last updated
11/06/2015
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