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Individual

MS. NANCY ANN LAGUARDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
DOGWOOD AVE BUILDING 8, MOUNTAIN HOME, TN 37604
(423) 926-1171
Mailing address
3 COX FARM CT, JOHNSON CITY, TN 37601-2188
(423) 292-1980

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
29695
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29695
TN

Other

Enumeration date
08/12/2021
Last updated
10/01/2021
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