Individual
CHRISLA TIDWELL KEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP, NP-C
Contact information
Practice address
51 N DUNLAP ST STE 100, UT LE BONHEUR PEDIATRIC SPECIALISTS- UROLOGY, MEMPHIS, TN 38105-4625
(901) 287-4030
Mailing address
51 N DUNLAP ST STE 250, UT LE BONHEUR PEDIATRIC SPECIALIST- UROLOGY, MEMPHIS, TN 38105-4625
(901) 287-4030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13411
TN
Other
Enumeration date
04/16/2008
Last updated
01/14/2016
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