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Individual

HEIDI LATRELL DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Mailing address
851 TRAFALGAR COURT, SUITE 200E, MAITLAND, FL 32751
(407) 667-0444
(407) 667-4338

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
17717
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9207469
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306327500
FL
Enumeration date
11/29/2005
Last updated
07/12/2017
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