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NPI Code Detail

MEDICARE: PROF. DWAYNE ACCARDO CRNA, DNP

MEDICARE: PROF. DWAYNE ACCARDO CRNA, DNP
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 Anesthetist810529MS
2367500000XCertified Registered Nurse AnesthetistAPN0000010349TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821091554
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. DWAYNE ACCARDO CRNA, DNP
Provider Business Mailing Address
First Line : PO BOX 381468
Second Line :
City : GERMANTOWN
State : TN
Zip : 38183-1468
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8000 WOLF RIVER BLVD STE 200
Second Line :
City : MEMPHIS
State : TN
Zip : 38138-1755
Country : US
Telephone Number : 901-737-4665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 02/10/2026

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