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NPI Code Detail

MEDICARE: MR. RICHARD LLOYD DAVIDSON CRNA

MEDICARE:  MR. RICHARD LLOYD DAVIDSON  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist15352TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003117672
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD LLOYD DAVIDSON CRNA
Provider Business Mailing Address
First Line : PO BOX 381468
Second Line :
City : GERMANTOWN
State : TN
Zip : 38183-1468
Country : US
Telephone Number : 731-616-3862
Fax Number :
Provider Business Practice Location Address
First Line : 237 LAKE TERRACE DR
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-5148
Country : US
Telephone Number : 731-616-3862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2010
Last Update Date : 02/16/2026

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Directions to “ MR. RICHARD LLOYD DAVIDSON CRNA” Practice Location

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