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Organization
PHOENIX HEALTH ALLIANCE
Active
Organization
PHOENIX HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA BALDRIDGE FNP-C (FNP-C)
(706) 386-6941
Entity
Organization
Contact information
Practice address
5987 LEBANON RD PMB 434, MURFREESBORO, TN 37129
(706) 386-6941
Mailing address
5987 LEBANON RD PMB 434, MURFREESBORO, TN 37129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629715438
NPI
—
Enumeration date
04/17/2024
Last updated
04/17/2024
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