Individual
AUSTIN LANE TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
Mailing address
3801 ROSEDALE DR, MEMPHIS, TN 38111-6918
(601) 551-9085
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
905767
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
31867
TN
Other
Enumeration date
05/31/2022
Last updated
06/15/2022
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