Individual
SANDRA SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
301 W END AVE, DICKSON, TN 37055-1725
(615) 446-2839
Mailing address
301 W END AVE, DICKSON, TN 37055-1725
(615) 446-2839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000084424
TN
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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