Healthcare Provider Details

I. General information

NPI: 1194711671
Provider Name (Legal Business Name): KARI SLUKICH CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARI PREUSS CRNA

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 STONECREST PKWY
SMYRNA TN
37167-6804
US

IV. Provider business mailing address

5805 STILL HOLLOW RD
NASHVILLE TN
37215-4819
US

V. Phone/Fax

Practice location:
  • Phone: 615-220-3720
  • Fax:
Mailing address:
  • Phone: 615-491-5323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number072119
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: