Amonett, Mark

Amonett, Mark is an individual health care provider with primary practice located at 1310 24Th Ave South , Nashville TN 37212-2637. 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. Amonett, Mark can be contacted via phone (615) 327-5390.

Contact Information

Primary practice address
1310 24Th Ave South Nashville TN 37212-2637
Phone: (615) 327-5390
Fax: (615) 321-6359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 049658 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN0000010560 Tennessee

Profile Details

NPI number 1194724757
LBN Legal business name Amonett, Mark
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 8th, 2007 - about 18 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 1194724757 NPPES
Tennessee MEDICAID 3627617
Tennessee Other 3111785

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