Individual
SHARON ANN QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 BELLEVILLE AVE, MARYVILLE, TN 37803-3115
(865) 805-1930
Mailing address
1421 BELLEVILLE AVE, MARYVILLE, TN 37803-3115
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
073515
TN
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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