Pethel, Regina R

Pethel, Regina R is an individual health care provider with primary practice located at 1924 Alcoa Hwy Box U109, Knoxville TN 37920-1511. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Pethel, Regina R can be contacted via phone (865) 544-9220.

Contact Information

Primary practice address
1924 Alcoa Hwy Box U109 Knoxville TN 37920-1511
Phone: (865) 544-9220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN97058 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 049477 Tennessee

Profile Details

NPI number 1629041926
LBN Legal business name Pethel, Regina R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 1st, 2011 - about 13 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 1629041926 NPPES
Tennessee Other 049477 CRNA LICENSE
Tennessee Other RN 97058 CRNA LICENSE
Tennessee Other APN10831 CRNA LICENSE

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