Individual
DIEDRE FAY SUITS
Active
Individual
DIEDRE FAY SUITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
110065
TN
363L00000X
Nurse Practitioner
15905
TN
Other
Enumeration date
06/29/2011
Last updated
06/18/2026
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