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NPI Code Detail

MEDICARE: MS. ALESCIA LEANN DEVASHER CRNA, MS, APN

MEDICARE: MS. ALESCIA LEANN DEVASHER CRNA, MS, APN
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 Anesthetist10530TN
2367500000XCertified Registered Nurse Anesthetist84199TN

General Provider Information

NPI Number : 1811084122
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALESCIA LEANN DEVASHER CRNA, MS, APN
Provider Business Mailing Address
First Line : 846 FLORENCE CIR
Second Line :
City : MADISON
State : TN
Zip : 37115-4900
Country : US
Telephone Number : 615-868-8912
Fax Number :
Provider Business Practice Location Address
First Line : 315 HOSPITAL DR
Second Line : MIDDLE TENNESSEE SCHOOL OF ANESTHESIA
City : MADISON
State : TN
Zip : 37115-5030
Country : US
Telephone Number : 615-868-6503
Fax Number : 615-868-9885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 07/08/2007

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