Individual
SHENITA CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 725-5846
Mailing address
6060 PRIMACY PKWY, SUITE 241, MEMPHIS, TN 38119-5745
(901) 725-5846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
37624
TN
367500000X
Certified Registered Nurse Anesthetist
810515
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
8803
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3629019
—
TN
Enumeration date
05/22/2006
Last updated
12/30/2016
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