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NPI Code Detail

MEDICARE: VON P DOUANGDARA CRNA

MEDICARE: VON P DOUANGDARA 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 Anesthetist80436TN

General Provider Information

NPI Number : 1750528642
Entity Type Code : Individual
Provider Name (Legal Business Name) : VON P DOUANGDARA CRNA
Provider Business Mailing Address
First Line : 110 29TH AVE N STE 202
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1448
Country : US
Telephone Number : 615-327-4304
Fax Number :
Provider Business Practice Location Address
First Line : 110 29TH AVE N STE 202
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1448
Country : US
Telephone Number : 615-327-4304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2009
Last Update Date : 03/10/2026

Similar Medicare Providers

1316942469 — JEFFREY BENNIE M.D.
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1063417103 — DAVID D ALFERY M.D.
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1528063286 — THOMAS G ADKINS M.D.
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1710982376 — CHARLES BESHARIAN M.D.
Practice Location Address:
110 29TH AVE N , STE 202
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1932104528 — JOHN C DALTON M.D.
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Directions to “ VON P DOUANGDARA CRNA” Practice Location

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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.

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