MARY M PENA

MEMPHIS, TN
NPI1043441652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  15607)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  RNA183034)
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  RN157932)
Enumeration Date2009-07-30
Last Update Date2022-10-07
Business Address
MARY M PENA CRNA
6019 WALNUT GROVE RD
MEMPHIS, TN 38120-2113
Phone number: 901-226-5000
Mailing Address
MARY M PENA CRNA
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 901-682-2872