Healthcare Provider Details

I. General information

NPI: 1144005497
Provider Name (Legal Business Name): ANESTHESIA IN MOTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 SAUNDERSVILLE RD
HENDERSONVILLE TN
37075-8902
US

IV. Provider business mailing address

220 ATHENS WAY STE 210
NASHVILLE TN
37228-1314
US

V. Phone/Fax

Practice location:
  • Phone: 615-265-8038
  • Fax:
Mailing address:
  • Phone: 615-620-2333
  • Fax: 615-620-2323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LARRY P MOSS
Title or Position: PRESIDENT
Credential:
Phone: 615-479-1706