Provider Demographics
NPI:1457086829
Name:REZENE, ASMAIT T (CRNA, DNP)
Entity Type:Individual
Prefix:MRS
First Name:ASMAIT
Middle Name:T
Last Name:REZENE
Suffix:
Gender:F
Credentials:CRNA, DNP
Other - Prefix:
Other - First Name:ASMAIT
Other - Middle Name:R
Other - Last Name:TESFAZGHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7544 OAKLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1416
Mailing Address - Country:US
Mailing Address - Phone:909-434-6288
Mailing Address - Fax:
Practice Address - Street 1:3441 DICKERSON PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2539
Practice Address - Country:US
Practice Address - Phone:615-769-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN138870367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered