Individual
CHRISSY LYNN SALTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
1009 NOVUS DR STE 2, JOHNSON CITY, TN 37604-8237
(423) 283-0776
Mailing address
1009 NOVUS DR STE 2, JOHNSON CITY, TN 37604-8237
(423) 283-0776
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
085819
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
085819
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2109
—
SC
01
—
P01082577
RAILROAD MEDICARE
SC
Enumeration date
10/05/2010
Last updated
07/27/2021
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