LISA S VANDERWALL

CHATTANOOGA, TN
NPI1194073650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  APN16963)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TN  RN161224)
Enumeration Date2012-08-15
Last Update Date2012-11-01
Business Address
-- LISA S VANDERWALL CRNA
975 E. THIRD STREET
CHATTANOOGA, TN 37403-2147
Phone number: 423-778-7608
Mailing Address
-- LISA S VANDERWALL CRNA
PO BOX 11225
CHATTANOOGA, TN 37401-2225
Phone number: 423-892-5602