Healthcare Provider Details

I. General information

NPI: 1336221928
Provider Name (Legal Business Name): AERO ANESTHESIA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 06/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 SEWELL DR
SPARTA TN
38583-1223
US

IV. Provider business mailing address

PO BOX 440167
NASHVILLE TN
37244-0167
US

V. Phone/Fax

Practice location:
  • Phone: 931-738-9211
  • Fax:
Mailing address:
  • Phone: 615-620-2320
  • Fax: 615-620-2323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. KEVIN CRAWFORD
Title or Position: PARTNER
Credential: CRNA
Phone: 615-620-2320