Individual
DONALD E CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
401 SEWELL DR, SPARTA, TN 38583-1223
(615) 620-2320
(615) 620-2323
Mailing address
PO BOX 440167, NASHVILLE, TN 37244-0167
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN047828
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN 011520
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01069113
AMERIGROUP TENNCARE - NON PAR
TN
05
—
3601605
—
TN
01
—
4168754
BLUE CROSS/BLUE SHIELD OF TN - AERO
TN
05
—
9638982
—
WA
Enumeration date
06/05/2006
Last updated
07/30/2010
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