Individual
MRS. MICHELLE FITE-WEATHEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-6378
Mailing address
2917 GREEN PASTURES CV S, GERMANTOWN, TN 38138-7008
(901) 438-7168
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
92245
TN
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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