Individual
LYNN WITTE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/NP
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(888) 226-4343
(901) 595-3842
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678
(901) 595-2880
(901) 595-6110
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
61528
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154785758
—
AR
05
—
5440236
—
TN
Enumeration date
12/23/2005
Last updated
02/18/2020
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