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Organization
NISWANDER FAMILY MEDICINE INC
Active
Organization
NISWANDER FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MATTHEW NISWANDER NP (OWNER)
(931) 244-7217
Entity
Organization
Contact information
Practice address
88 W EDAN RD, ETHRIDGE, TN 38456-5137
(931) 829-2056
(931) 829-2461
Mailing address
88 W EDAN RD, ETHRIDGE, TN 38456-5137
(931) 829-2056
(931) 829-2461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/21/2024
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