Individual
HEATHER DAWN VANDIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
11870 CRANSTON DR STE 104, ARLINGTON, TN 38002-4913
(901) 317-7958
Mailing address
6296 CREEKSIDE LAKE DR, ARLINGTON, TN 38002-1518
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
33580
TN
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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