Provider Demographics
NPI:1811084122
Name:DEVASHER, ALESCIA LEANN (CRNA, MS, APN)
Entity type:Individual
Prefix:MS
First Name:ALESCIA
Middle Name:LEANN
Last Name:DEVASHER
Suffix:
Gender:F
Credentials:CRNA, MS, APN
Other - Prefix:MRS
Other - First Name:ALESCIA
Other - Middle Name:LEANN
Other - Last Name:DEVASHER BETHEA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA, MS, APN
Mailing Address - Street 1:846 FLORENCE CIR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-4900
Mailing Address - Country:US
Mailing Address - Phone:615-868-8912
Mailing Address - Fax:
Practice Address - Street 1:315 HOSPITAL DR
Practice Address - Street 2:MIDDLE TENNESSEE SCHOOL OF ANESTHESIA
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-5030
Practice Address - Country:US
Practice Address - Phone:615-868-6503
Practice Address - Fax:615-868-9885
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10530367500000X
TN84199367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered