Healthcare Provider Details

I. General information

NPI: 1437820040
Provider Name (Legal Business Name): STEFANNIE SPRINGER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEFANNIE MILLER

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 E 3RD ST
CHATTANOOGA TN
37403-2173
US

IV. Provider business mailing address

PO BOX 2930
INDIANAPOLIS IN
46206-2930
US

V. Phone/Fax

Practice location:
  • Phone: 423-602-8400
  • Fax: 423-602-8401
Mailing address:
  • Phone: 866-282-7905
  • Fax: 855-630-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number137304
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: