Individual
BRODIE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 PRINCETON RD, JOHNSON CITY, TN 37601-2052
(423) 975-2200
Mailing address
675 ARROWHEAD LOOP, MIDWAY, TN 37809-4040
(423) 609-8117
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
245905
TN
Other
Enumeration date
12/16/2020
Last updated
08/01/2022
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