Individual
ELIZA ECHAVEZ MALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(423) 893-6500
Mailing address
9981 FORREST DR, OOLTEWAH, TN 37363-8300
(909) 446-9409
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
20333
TN
363LF0000X
Family Nurse Practitioner
20333
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20333
TN
Other
Enumeration date
07/30/2015
Last updated
09/14/2023
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