Individual
MA THEA HEIDI LABITAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2828 OLD HICKORY BLVD APT 1303, NASHVILLE, TN 37221-3768
(904) 314-7937
Mailing address
2828 OLD HICKORY BLVD APT 1303, NASHVILLE, TN 37221-3768
(904) 314-7937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
244995
TN
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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