Individual
MR. RONNIE CUTSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
405 WALTERS RD, GREENEVILLE, TN 37743-5674
(423) 948-7305
Mailing address
405 WALTERS RD, GREENEVILLE, TN 37743-5674
(423) 948-7305
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43493
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN0000043493
TENNESSEE STATE BOARD OF NURSING
TN
Enumeration date
09/16/2010
Last updated
12/11/2014
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