Bohannon, Betty

Bohannon, Betty is an individual health care provider with primary practice located at 110 29Th Ave N , Nashville TN 37203-1401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bohannon, Betty can be contacted via phone (615) 327-4304.

Contact Information

Primary practice address
110 29Th Ave N Nashville TN 37203-1401
Phone: (615) 327-4304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 47514 Tennessee

Profile Details

NPI number 1346219011
LBN Legal business name Bohannon, Betty
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Dec 27th, 2016 - about 8 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 1346219011 NPPES
Tennessee Other 620931432 TRICARE REGION SOUTH
Tennessee Other 4112892 TRICARE REGION SOUTH
Tennessee MEDICAID 74009796 TRICARE REGION SOUTH
Tennessee MEDICAID 3625345 TRICARE REGION SOUTH
Tennessee MEDICAID 009933759 TRICARE REGION SOUTH

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