MEDICARE: MRS. BRENDA LEE ESTES 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	RN0000071338	TN
2	367500000X	Certified Registered Nurse Anesthetist	APN0000010921	TN

General Provider Information

NPI Number	:	1881772267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRENDA LEE ESTES CRNA

Provider Business Mailing Address
First Line	:	456 CARLTON RD
Second Line	:
City	:	BRISTOL
State	:	TN
Zip	:	37620-8709
Country	:	US
Telephone Number	:	423-652-2926
Fax Number	:

Provider Business Practice Location Address
First Line	:	249 MIDWAY MEDICAL PARK
Second Line	:
City	:	BRISTON
State	:	TN
Zip	:	37620-8709
Country	:	US
Telephone Number	:	423-968-3033
Fax Number	:	423-968-3789

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	02/06/2025

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