Individual
MS. ANDREA LEA STUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
105 CROSSPOINTE, HENDERSONVILLE, TN 37075-5902
(615) 822-3263
(615) 826-0806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1047125
TN
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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