Individual
MRS. NAN LYNN THODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BC
Contact information
Practice address
2150 WHITNEY AVE, MEMPHIS, TN 38127-6662
(901) 353-5440
(901) 353-5464
Mailing address
2150 WHITNEY AVE, MEMPHIS, TN 38127-6662
(901) 353-5440
(901) 353-5464
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN0000035828
TN
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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