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NPI Code Detail

MEDICARE: DAISY TAMBE JEAN-PIERRE CRNA

MEDICARE: DAISY TAMBE JEAN-PIERRE 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 AnesthetistRN190068GA

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 : 1174937320
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY TAMBE JEAN-PIERRE CRNA
Provider Business Mailing Address
First Line : PO BOX 681789
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-1789
Country : US
Telephone Number : 615-503-9000
Fax Number :
Provider Business Practice Location Address
First Line : 1300 RIDENOUR BLVD NW STE 300
Second Line :
City : KENNESAW
State : GA
Zip : 30152-4402
Country : US
Telephone Number : 770-702-1806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2014
Last Update Date : 02/29/2024

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