Healthcare Provider Details

I. General information

NPI: 1245341866
Provider Name (Legal Business Name): LAURA VERNER WILLIAMS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURA W MAKARWICH

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9160 CAROTHERS PKWY
FRANKLIN TN
37067-6688
US

IV. Provider business mailing address

403 LUNA CT
FRANKLIN TN
37064-8240
US

V. Phone/Fax

Practice location:
  • Phone: 615-550-6066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number25945
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number556055
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: