Individual
MRS. MICHELLE L HOLTGRAEWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(615) 775-4593
Mailing address
258 ROUTON RD, WATERTOWN, TN 37184-4446
(615) 775-4593
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
214873
TN
363L00000X
Nurse Practitioner
Primary
30391
TN
Other
Enumeration date
04/05/2021
Last updated
10/15/2021
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