Individual
MRS. ANDRIA MICHELLE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
302 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
(615) 597-4395
(615) 597-5075
Mailing address
302 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
(615) 597-4395
(615) 597-5075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21466
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21466
APN STATE LICENSE NUMBER
TN
Enumeration date
07/27/2016
Last updated
07/27/2016
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