MEDICARE: MARK AMONETT 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
1	367500000X	Certified Registered Nurse Anesthetist	049658	TN
2	367500000X	Certified Registered Nurse Anesthetist	APN0000010560	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3111785	OTHER	TN	BCBS NUMBER

General Provider Information

NPI Number	:	1194724757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK AMONETT CRNA

Provider Business Mailing Address
First Line	:	1301 STRATFORD AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216
Country	:	US
Telephone Number	:	615-226-5047
Fax Number	:	615-321-6359

Provider Business Practice Location Address
First Line	:	1310 24TH AVE SOUTH
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-2637
Country	:	US
Telephone Number	:	615-327-5390
Fax Number	:	615-321-6359

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1467070763 — JENNIFER LYNN CROMER LCSW
Practice Location Address:

1310 24TH AVE S
NASHVILLE, TN
37212-2637

Practice Phone: 629-259-1871
Practice Fax:

1043068117 — ASHLEY CHANTAL RITOSSA MD
Practice Location Address:

1310 24TH AVE S
NASHVILLE, TN
37212-2637

Practice Phone: 615-225-3700
Practice Fax: 615-873-8121

1942206933 — KURT O DOGGWILER M.D., PH.D.
Practice Location Address:

1310 24TH AVE S # 114
NASHVILLE, TN
37212-2637

Practice Phone: 615-873-7765
Practice Fax: 615-873-8321

1851384473 — MR. TIMOTHY JAMES HORNYAK PA-C
Practice Location Address:

1310 24TH AVE S
NASHVILLE, TN
37212-2637

Practice Phone: 615-873-7620
Practice Fax:

1952397994 — MR. ANTHONY ROBERT BERNUI PA-C
Practice Location Address:

1310 24TH AVE S , SURGICAL SERVICE
NASHVILLE, TN
37212-2637

Practice Phone: 615-873-7235
Practice Fax:

1144201310 — MS. JERRI RENEE CASSADA RD, LDN, CDE
Practice Location Address:

1310 24TH AVE S
NASHVILLE, TN
37212-2637

Practice Phone: 615-873-7204
Practice Fax:

Directions to “ MARK AMONETT CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.