NPI 1063448058

Robert R Herndon

Practitioner Certified Registered Nurse Anesthetist Bristol, TN

Practice location

Address: 1 Medical Park Blvd, Bristol, TN 37620-7430
Phone: (423) 844-1121
Mailing address: 105 W Stone Dr Suite 6a, Kingsport, TN 37660-3365

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 36461 (TN)

Other Nurse Anesthetist, Certified Registered providers in Tennessee →

Registry record

NPI: 1063448058
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2006
Record last updated: 2 May 2014

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.