Individual
MS. SANDRA VIVIAN HARSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNT/ PHLEBOTOMY
Contact information
Practice address
303 S MAIN ST, SUITE C, GOODLETTSVILLE, TN 37072-1712
(615) 474-2050
Mailing address
303 S MAIN ST, SUITE C, GOODLETTSVILLE, TN 37072-1712
(615) 474-2050
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00120119
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00120119
BOARD OF NURSING/ CNT
TN
Enumeration date
07/02/2011
Last updated
05/14/2012
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