Healthcare Provider Details

I. General information

NPI: 1245666858
Provider Name (Legal Business Name): MARIA LEE FREEMAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA KATHRYN GESWIN

II. Dates (important events)

Enumeration Date: 09/16/2013
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY # U109
KNOXVILLE TN
37920-1511
US

IV. Provider business mailing address

PO BOX 51947
KNOXVILLE TN
37950-1947
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-9220
  • Fax:
Mailing address:
  • Phone: 865-588-0880
  • Fax: 865-584-3111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number17980
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: