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Individual

DAVID E BIDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 980-4897
(865) 977-4722
Mailing address
103 W BROADWAY AVE, MARYVILLE, TN 37801-4703
(865) 273-1752
(865) 273-1755

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
110480
TN
363L00000X
Nurse Practitioner
Primary
12836
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110480
RN LICENSE
TN
01
12836
APN LICNESE
TN
05
3341244
TN
Enumeration date
07/25/2007
Last updated
06/09/2023
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