Individual
ANN DEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5511
Mailing address
5800 CENTRAL AVENUE PIKE APT 3207, KNOXVILLE, TN 37912-2600
(412) 606-0494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN47645
TN
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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