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Individual

BRIA WALL BOUKOVALAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
801 N WEISGARBER RD STE 500, KNOXVILLE, TN 37909-2708
(865) 588-1662
Mailing address
1061 HAYSLOPE DR, KNOXVILLE, TN 37919-7228
(281) 732-3033

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
30655
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP130006
TX

Other

Enumeration date
03/09/2016
Last updated
03/03/2026
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