Individual
ANDREA BREEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 STATION DR, MARYVILLE, TN 37804-4190
(865) 982-7101
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN38024
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3342442
—
TN
01
—
500014361
RR MEDICARE
TN
Enumeration date
07/14/2006
Last updated
07/01/2010
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