Individual
LYNDA L PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
235 MEDICAL PARK BLVD, THE ENDOSCPY CENTER OF BRISTOL, BRISTOL, TN 37620-7455
(615) 620-2320
Mailing address
PO BOX 291264, NASHVILLE, TN 37229-1264
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN14132
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515519
—
TN
01
—
4248423
BLUE CROSS/BLUE SHIELD OF TN
TN
05
—
AN0597
—
SC
01
—
P0081827
RR MEDICARE - PALMETTO GBA
TN
Enumeration date
07/21/2006
Last updated
10/04/2010
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