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Individual

MINDI PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1402 DAVY CROCKETT DR, MURFREESBORO, TN 37129-7692
(615) 828-9905
Mailing address
1402 DAVY CROCKETT DR, MURFREESBORO, TN 37129-7692
(615) 828-9905

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
178496
TN

Other

Enumeration date
05/07/2016
Last updated
05/07/2016
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