Individual
YVONNE DANTZLER-RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 E SWAN ST, CENTERVILLE, TN 37033-1446
(931) 729-3091
(931) 729-0809
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-4029
(615) 284-7501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209015234
IL
363L00000X
Nurse Practitioner
Primary
23047
TN
Other
Enumeration date
12/27/2016
Last updated
08/12/2019
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