Whalio Doctors

NPI 1033358544

Marcos D Demoura, CRNA

Practitioner Certified Registered Nurse Anesthetist Johnson City, TN

Practice location

Address
818 Sunset Dr STE 103, Johnson City, TN 37604-8310
Phone
(423) 794-3142
Mailing address
3717 Glen Alpine Rd, Kingsport, TN 37660-7862

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 13901 (TN)

Registry record

NPI
1033358544
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Feb 2009
Record last updated
17 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.