Accardo, Dwayne

Accardo, Dwayne is an individual health care provider with primary practice located at 8000 Wolf River Blvd Ste 200 , Memphis TN 38138-1755. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Accardo, Dwayne can be contacted via phone (901) 737-4665.

Contact Information

Primary practice address
8000 Wolf River Blvd Ste 200 Memphis TN 38138-1755
Phone: (901) 737-4665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN0000010349 Tennessee

Profile Details

NPI number 1821091554
LBN Legal business name Accardo, Dwayne
Credentials CRNA, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated May 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821091554 NPPES
Tennessee MEDICAID 3629948

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