MEDICARE: CHRISTINA RENAE ZAVATCHEN 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	RN86711	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4071356	OTHER	TN	BLUE CROSS BLUE SHIELD
2	28700	OTHER	TN	TLC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	147504	OTHER	TN	UNISON HEALTH PLANS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699875237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA RENAE ZAVATCHEN CRNA

Provider Business Mailing Address
First Line	:	PO BOX 1145
Second Line	:
City	:	SAVANNAH
State	:	TN
Zip	:	38372-4145
Country	:	US
Telephone Number	:	731-412-7891
Fax Number	:

Provider Business Practice Location Address
First Line	:	2006 WAYNE RD
Second Line	:
City	:	SAVANNAH
State	:	TN
Zip	:	38372-2236
Country	:	US
Telephone Number	:	731-926-8000
Fax Number	:

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

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	10/09/2025

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