Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robert P Mothershead, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1366436933

Robert P Mothershead, CRNA is a Certified Registered Nurse Anesthetist in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1009 Lark St Ste 2
Johnson City, TN 37604-8217
Phone: (423) 283-0776
Fax: (423) 283-0549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN0000054069 (TN)

Record details

NPI number1366436933
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 9, 2005
Last updated in NPPESMay 15, 2014

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