Individual
CLAUDIA TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1101 NEAL ST, COOKEVILLE, TN 38501-0901
(931) 854-9220
Mailing address
PO BOX 640, MCMINNVILLE, TN 37111-0640
(931) 507-1212
(931) 507-1217
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
74058
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74058
LICENSE
TN
Enumeration date
11/02/2012
Last updated
11/02/2012
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