Individual
RACHAEL CANADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 QUINCO DR, HENDERSON, TN 38340-1705
(731) 989-7108
Mailing address
301 QUINCO DR, HENDERSON, TN 38340-1705
(731) 989-7108
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000176646
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626001445
—
TN
Enumeration date
06/08/2018
Last updated
06/08/2018
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