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Individual

MRS. LANA THERESE STILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 870-1775
(614) 968-8840
Mailing address
1233 NEWCASTLE WAY, MARYVILLE, TN 37803-2691
(865) 724-5018

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
0000223839
TN
363L00000X
Nurse Practitioner
Primary
31787
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q075162
TN
Enumeration date
04/19/2022
Last updated
03/27/2024
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