Individual
RICHARD R TENNESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3282
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9427984
FL
367500000X
Certified Registered Nurse Anesthetist
RN546471
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102384386
—
PA
Enumeration date
02/06/2008
Last updated
08/27/2024
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