Individual
NICOLE MARIETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1787 VETERANS BLVD, SUITE 101, SEVIERVILLE, TN 37862-6945
(865) 428-2773
Mailing address
1787 VETERANS BLVD, SUITE 101, SEVIERVILLE, TN 37862-6945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN19712
TN
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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