Individual
CYDNEY VANOSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9330 PARK WEST BLVD STE 508, KNOXVILLE, TN 37923-4313
(865) 694-9676
(865) 588-3742
Mailing address
PO BOX 52948, KNOXVILLE, TN 37950-2948
(865) 306-5700
(865) 584-7760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20069
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q062473
—
TN
Enumeration date
06/01/2016
Last updated
12/28/2023
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