IDA PERNELL

GERMANTOWN, TN
NPI1447201348
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  8954)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TN  044684)
Enumeration Date2006-05-15
Last Update Date2011-06-09
Business Address
Mrs. IDA PERNELL CRNA
1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138-2954
Phone number: 901-818-2160
Mailing Address
Mrs. IDA PERNELL CRNA
1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138-2954
Phone number: 901-818-2160