Most Relevant Information
Provider Data
NPI Number: | 1003053018 |
Provider Name: | AMANDA B DICKERT CRNA |
Entity Type: | Individual |
Taxonomy Code: | 367500000X |
Specialty: | Nurse Anesthetist, Certified Registered |
License Number: | 13779 |
Most Important Dates
Enumeration Date: | 01/13/2009 |
Last Updated: | 03/31/2022 |
Provider Practice Location
1215 21ST AVE S
NASHVILLE
TN
372320014
Practice Location Phone/Fax
Phone: | 6153436336 |
Fax: | 6153431966 |
Provider Mailing Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE
TN
372152691
Provider Mailing Phone/Fax
Phone: | 6153223000 |
Fax: |