Individual
TANA BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
350 DAWSON ST, VONORE, TN 37885-2420
(423) 884-3400
Mailing address
1220 MOUNT VIEW CIR, ETOWAH, TN 37331-1154
(423) 435-4482
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27067
TN
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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