Individual
STEPHANIE AUDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 CRISP SPRINGS RD, MCMINNVILLE, TN 37110-5238
(931) 939-5045
Mailing address
406 N SPRING ST, MCMINNVILLE, TN 37110-2134
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
69776
TN
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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