Provider Demographics
NPI:1124004593
Name:KEENEY, DONNA (CRNA)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:KEENEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1211 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 3255
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-7075
Practice Address - Country:US
Practice Address - Phone:615-343-6336
Practice Address - Fax:615-343-1966
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11412367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3635160Medicaid
TN3635160Medicare ID - Type Unspecified