Healthcare Provider Details

I. General information

NPI: 1750689543
Provider Name (Legal Business Name): EMILY LANE MEYERS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY MEYERS HANCOCK

II. Dates (important events)

Enumeration Date: 03/03/2011
Last Update Date: 07/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 HOSPITAL RD
WINCHESTER TN
37398-2404
US

IV. Provider business mailing address

82 PATTON AVE STE 510
ASHEVILLE NC
28801-3343
US

V. Phone/Fax

Practice location:
  • Phone: 931-967-8200
  • Fax:
Mailing address:
  • Phone: 828-210-9386
  • Fax: 828-210-9388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAANA086594
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: