Individual
NAN M. GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN, CPNP
Contact information
Practice address
220 LANGLAND ST, KNOXVILLE, TN 37915-1415
(865) 594-5078
(865) 594-3921
Mailing address
1200 VOLUNTEER BLVD, UTCON #335, KNOXVILLE, TN 37996-4180
(865) 974-7622
(865) 974-3569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000044603
TN
363LP0200X
Pediatric Nurse Practitioner
APN0000005409
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3497038
—
TN
Enumeration date
06/08/2005
Last updated
08/03/2011
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