Individual
MS. MELINDA MAYTON WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
2152 COLEMAN RD, CORNERSVILLE, TN 37047-5016
(615) 207-1099
Mailing address
2152 COLEMAN RD, CORNERSVILLE, TN 37047-5016
(615) 207-1099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000198372
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
25129
TN
Other
Enumeration date
10/15/2018
Last updated
11/30/2018
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