Individual
MRS. BETH MCELWEE FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1908 GRANBY RD, KINGSPORT, TN 37665
(994) 242-3915
Mailing address
239 OLD ISLAND TRL, KINGSPORT, TN 37664-4275
(225) 803-4570
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
109001
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
168243
TN
367500000X
Certified Registered Nurse Anesthetist
20913
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512455
—
TN
01
—
4232241
BCBS
—
Enumeration date
01/23/2009
Last updated
10/26/2023
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