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Individual

MS. CAROL R LANDERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1330 CEDAR LN STE 900, TULLAHOMA, TN 37388-2286
(931) 455-2674
(931) 455-8983
Mailing address
PO BOX 1327, 1330 CEDAR LN BLDG B SUITE 900, TULLAHOMA, TN 37388-1327
(931) 455-2674
(931) 455-8983

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000018032
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q004882
TN
Enumeration date
10/15/2013
Last updated
09/18/2014
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