Provider Demographics
NPI:1821091505
Name:RHINEHART, DELIA GRACE (CFNP, CRNA)
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:GRACE
Last Name:RHINEHART
Suffix:
Gender:F
Credentials:CFNP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 GETWELL RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-2205
Mailing Address - Country:US
Mailing Address - Phone:731-358-3868
Mailing Address - Fax:
Practice Address - Street 1:205 HOSPITAL DR
Practice Address - Street 2:STE A
Practice Address - City:MC KENZIE
Practice Address - State:TN
Practice Address - Zip Code:38201-1649
Practice Address - Country:US
Practice Address - Phone:731-352-7907
Practice Address - Fax:731-352-4459
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN7151363LF0000X, 367500000X
TX129560367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
079723OtherCRNA CERTIFCATION
TNRN104305OtherREGISTERED NURSE LICENSE
TN3904835Medicaid
TNAPN7151OtherADVANCED PRACTICE NURSE
079723OtherCRNA CERTIFCATION
TN3904835Medicaid