Individual
IMELDA G MARGULIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7714 CONNER RD STE 107, POWELL, TN 37849-3559
(865) 692-1610
(865) 692-1619
Mailing address
7714 CONNER RD STE 107, POWELL, TN 37849-3559
(865) 692-1610
(865) 692-1619
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12151
TN
363LF0000X
Family Nurse Practitioner
Primary
12151
TN
363LF0000X
Family Nurse Practitioner
RN0000087743
TN
Other
Enumeration date
09/11/2007
Last updated
07/07/2021
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