Healthcare Provider Details

I. General information

NPI: 1043444243
Provider Name (Legal Business Name): HOPE K MILLER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOPE K STEWARD CRNA

II. Dates (important events)

Enumeration Date: 05/04/2009
Last Update Date: 12/24/2019
Certification Date: 12/24/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 N CEDAR BLUFF RD SUITE 300
KNOXVILLE TN
37923-3623
US

IV. Provider business mailing address

410 N CEDAR BLUFF RD SUITE 300
KNOXVILLE TN
37923-3623
US

V. Phone/Fax

Practice location:
  • Phone: 865-342-8900
  • Fax: 865-691-0843
Mailing address:
  • Phone: 865-342-8900
  • Fax: 865-691-0843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN90718
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number14333
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN14333
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: