Provider Demographics
NPI:1467723437
Name:SCOTT, MEGAN PERRIEN (CRNA, RN)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:PERRIEN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CRNA, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 21ST AVENUE SOUTH
Mailing Address - Street 2:3108 MCE
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-8413
Mailing Address - Country:US
Mailing Address - Phone:615-343-6336
Mailing Address - Fax:615-343-1966
Practice Address - Street 1:1215 21ST AVENUE SOUTH
Practice Address - Street 2:3108 MCE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8413
Practice Address - Country:US
Practice Address - Phone:615-343-6336
Practice Address - Fax:615-343-1966
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16302367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered