Individual
MRS. BRENDA KAY FOGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9527 W RIDGE TRAIL RD, SODDY DAISY, TN 37379-4018
(423) 842-3031
(423) 842-5353
Mailing address
3800 WINDWARD LN, SODDY DAISY, TN 37379-8260
(423) 332-7548
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000043050
TN
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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