Individual
CAROLYN WERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 DEVONIA ST, HARRIMAN, TN 37748-2008
(865) 882-1164
Mailing address
240 W TYRONE RD, OAK RIDGE, TN 37830-6517
(865) 482-1076
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
87301
TN
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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