Individual
SUSAN J WARNER-OBERWORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388-4754
(931) 454-0489
(931) 454-2348
Mailing address
100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388-4754
(931) 454-0489
(931) 454-2348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN 06621
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511793
—
TN
Enumeration date
09/16/2006
Last updated
03/20/2013
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