MICHELLE BERTRAM PHILLIPS

MARYVILLE, TN
NPI1538444096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  APN18925)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TN  RN0000155418)
367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  CRNA0823)
Enumeration Date2011-10-17
Last Update Date2015-09-08
Business Address
-- MICHELLE BERTRAM PHILLIPS CRNA
907 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5015
Phone number: 865-983-7211
Mailing Address
-- MICHELLE BERTRAM PHILLIPS CRNA
PO BOX 24776
CHATTANOOGA, TN 37422-4776
Phone number: 877-288-1799