Individual
ALICIA DEIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 N JOHN B DENNIS HWY STE 100, KINGSPORT, TN 37660-5904
(423) 578-8500
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000025715
TN
Other
Enumeration date
10/11/2019
Last updated
08/16/2024
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