Organization
VETNURSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE BROADY LPN (MEMBER)
(910) 303-3523
Entity
Organization
Contact information
Practice address
1122 TERRACESIDE CIR, CLARKSVILLE, TN 37040-6442
(910) 303-3523
Mailing address
1122 TERRACESIDE CIR, CLARKSVILLE, TN 37040-6442
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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