Roddy, Fairra

Roddy, Fairra is an individual health care provider with primary practice located at 110 29Th Ave N Ste 202, Nashville TN 37203-1401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Roddy, Fairra can be contacted via phone (615) 327-4304.

Contact Information

Primary practice address
110 29Th Ave N Ste 202 Nashville TN 37203-1401
Phone: (615) 327-4304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 023013 Tennessee

Profile Details

NPI number 1558357897
LBN Legal business name Roddy, Fairra
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558357897 NPPES
Tennessee Other 3057449 BCBS NUMBER
Tennessee MEDICAID 3603710 BCBS NUMBER
Tennessee MEDICAID 74230137 BCBS NUMBER

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