Individual
EDIE F CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN021
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5072
(865) 215-5046
Mailing address
1653 KINGSTON PIKE ST, APT. 1507, KNOXVILLE, TN 37919
(865) 212-5526
(865) 215-5406
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN000006677750
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN0000066750
RN LICENSE
TN
Enumeration date
02/02/2007
Last updated
07/08/2007
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