Individual
ELANOR PETREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 DANTE RD, KNOXVILLE, TN 37918-9719
(865) 215-5500
(865) 215-5505
Mailing address
660 EMORY RD, BLAINE, TN 37709-2425
(865) 932-1456
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000046945
TN
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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