Individual
SANA PATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 PAVILION DR STE 107, KINGSPORT, TN 37660-4651
(423) 343-1442
(423) 343-1445
Mailing address
2204 PAVILION DR STE 107, KINGSPORT, TN 37660-4651
(423) 343-1442
(423) 343-1445
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27887
TN
Other
Enumeration date
08/10/2020
Last updated
04/18/2024
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