Individual
WALA'A BAHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, APRN
Contact information
Practice address
435 N CEDAR AVE, COOKEVILLE, TN 38501-2422
(931) 526-6100
Mailing address
435 N CEDAR AVE, COOKEVILLE, TN 38501-2422
(931) 526-6100
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
37598
TN
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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