Most Relevant Information
Provider Data
| NPI Number: | 1003205139 |
| Provider Name: | CASSONDRA NICHOLE COMPTON CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 0024175655 |
Most Important Dates
| Enumeration Date: | 01/13/2015 |
| Last Updated: | 07/29/2019 |
Provider Practice Location
1 MEDICAL PARK BLVD
BRISTOL
TN
376207430
Practice Location Phone/Fax
| Phone: | 4238442686 |
| Fax: | 4238442688 |
Provider Mailing Location
1 MEDICAL PARK BLVD
BRISTOL
TN
376207430
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |