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NPI Code Detail

MEDICARE: DUSTIN FINK CRNA

MEDICARE: DUSTIN FINK 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 Anesthetist36124TN
2163WC0200XCritical Care Medicine Registered Nurse202172TN

General Provider Information

NPI Number : 1780351213
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUSTIN FINK CRNA
Provider Business Mailing Address
First Line : 304 BRISTON CT
Second Line :
City : MURFREESBORO
State : TN
Zip : 37127-7230
Country : US
Telephone Number : 210-379-3802
Fax Number :
Provider Business Practice Location Address
First Line : 1800 MEDICAL CENTER PKWY STE 330
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-2586
Country : US
Telephone Number : 615-410-7873
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2021
Last Update Date : 04/16/2024

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