Healthcare Provider Details
I. General information
NPI: 1477290468
Provider Name (Legal Business Name): SOMNOLENCE ANESTHESIA PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2022
Last Update Date: 05/19/2022
Certification Date: 05/19/2022
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
- Phone: 615-265-8038
- Fax:
- Phone: 615-620-2320
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STACY
ALESSIO
Title or Position: PRESIDENT
Credential: CRNA
Phone: 615-456-4181