Individual
AMY REBECCA CUDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1453 HOPE WAY, MURFREESBORO, TN 37129-3140
(615) 893-9390
Mailing address
1453 HOPE WAY, MURFREESBORO, TN 37129-3140
(615) 893-9390
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1154763
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441934
PART A
TN
Enumeration date
04/11/2019
Last updated
06/29/2020
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