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

Tido A Latour, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1457348773

Tido A Latour, CRNA is a Certified Registered Nurse Anesthetist in Johnson City, Tennessee. Licensed in South Carolina and Tennessee. Registered with an NPI since 2005.

Licensed in
SC, TN
In the registry since
2005
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1009 Novus Dr Ste 2
Johnson City, TN 37604-8237
Phone: (423) 283-0776
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 10345 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 27158 (SC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN127822 (TN)

Record details

NPI number1457348773
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

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