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Mr. Richard Alan Davenport SR., CRNA,MS
Certified Registered Nurse Anesthetist in Lebanon, Tennessee
NPI 1144334236

Richard Alan Davenport SR. is a Certified Registered Nurse Anesthetist based in Lebanon, TN. Richard Alan Davenport SR. practices in Lebanon, TN and has the professional credentials of CRNA,MS. The NPI Number for Richard Alan Davenport SR. is 1144334236 and holds a License No. 58326 (Tennessee).

The current practice location address for Richard Alan Davenport SR. is 102 Hartmann Drive, Lebanon, TN and can be reached out via phone at 615-294-9911 and via fax at 615-444-0298. You can also correspond with Richard Alan Davenport SR. through the mailing address at 102 HARTMAN DR, LEBANON, TN - 37087-2569 (mailing address contact number: 615-294-9911).

Location: 102 Hartmann Drive, Lebanon, TN, 37087-2569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144334236
Provider Name
Richard Alan Davenport SR.
Credential
CRNA,MS
Provider Entity Type
Individual
Gender
Male
Address
102 Hartmann Drive, Lebanon, TN, 37087-2569
Phone Number
615-294-9911
Fax Number
615-444-0298
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36324201 01 TN MEDICAID - NASHVILLE GEN.
36324201 01 TN MEDICARE - NASHVILLE GEN.
institution
Provider Business Practice Location Address Details
Address
102 Hartmann Drive
City
Lebanon
State
Tennessee
Zip
37087-2516
Phone Number
615-294-9911
Fax Number
615-444-0298
person
Provider Business Mailing Address Details
Address
102 Hartmann Drive
City
Lebanon
State
Tennessee
Zip
37087-2516
Phone Number
615-294-9911
Fax Number
615-444-0298
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
APN0000009203 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
58326 (Tennessee)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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