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Individual
TRICIA W UNDERWOOD
Active
Individual
TRICIA W UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN6682
TN
363LF0000X
Family Nurse Practitioner
Primary
6682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q019387
—
TN
Enumeration date
06/16/2005
Last updated
06/23/2020
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