Individual
MS. LINDA CHITWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2160
(901) 682-9522
Mailing address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2160
(901) 682-9522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 863597
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
APN 8998
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111400
—
MS
05
—
120695701
—
AR
05
—
3608513
—
TN
01
—
4033262
BLUE CROSS
TN
01
—
430074161
RAILROAD MEDICARE
TN
01
—
98938
BLUE CROSS
AR
Enumeration date
05/12/2006
Last updated
06/09/2011
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