Provider Demographics
NPI:1184836843
Name:CHANEY, TERESA GAIL (CRNA)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:GAIL
Last Name:CHANEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3670 RABBITS FOOT TRL
Mailing Address - Street 2:APT # 3
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3738
Mailing Address - Country:US
Mailing Address - Phone:859-296-5691
Mailing Address - Fax:
Practice Address - Street 1:3670 RABBITS FOOT TRL
Practice Address - Street 2:APT # 3
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3738
Practice Address - Country:US
Practice Address - Phone:859-296-5691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1106858367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered