Healthcare Provider Details

I. General information

NPI: 1649767542
Provider Name (Legal Business Name): WILLIAM BROWNING CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2018
Last Update Date: 11/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 20TH ST STE 606
KNOXVILLE TN
37916-1863
US

IV. Provider business mailing address

5422 HASKIN KNOLL LN
KNOXVILLE TN
37918-7501
US

V. Phone/Fax

Practice location:
  • Phone: 865-331-2278
  • Fax: 865-331-2282
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number196427
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number25340
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: