Individual
MRS. ANGELA SEWELL RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 MED TECH PKWY, JOHNSON CITY, TN 37604-2277
(423) 302-1200
Mailing address
300 MED TECH PKWY, JOHNSON CITY, TN 37604-2277
(423) 302-1200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN 12619
TN
Other
Enumeration date
07/19/2007
Last updated
10/24/2011
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