Individual
SUSAN MOYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1251 LEWISBURG PIKE, FRANKLIN, TN 37064-5037
(615) 791-2360
Mailing address
124 TIRZAH ST, LEBANON, TN 37087-3874
(615) 516-1965
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
044145
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009906510
—
AL
01
—
3116123
BCBS NUMBER
TN
05
—
3622135
—
TN
05
—
74441452
—
KY
Enumeration date
07/21/2005
Last updated
03/07/2023
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