Individual
MIRINDA GOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
7557B DANNAHER DR STE 225, POWELL, TN 37849-3568
(865) 647-5800
Mailing address
7557B DANNAHER DR STE 225, POWELL, TN 37849-3568
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
31331
TN
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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