Provider Demographics
NPI:1609804236
Name:WHITTINGTON, NANCY (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:WHITTINGTON
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 1:131 SAUNDERSVILLE ROAD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075
Mailing Address - Country:US
Mailing Address - Phone:615-824-3737
Mailing Address - Fax:888-687-6133
Practice Address - Street 1:131 SAUNDERSVILLE ROAD
Practice Address - Street 2:SUITE 160
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075
Practice Address - Country:US
Practice Address - Phone:615-824-3737
Practice Address - Fax:888-687-6133
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN10351367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY74376328OtherKY MEDICAID
TN10071325OtherAMERIGROUP
TN74376328OtherBCBS
TN3631000Medicaid
TNP00450341OtherRAILROAD MEDICARE
TNP00450341OtherRAILROAD MEDICARE