Individual
DEANA MICHELLE SPATAFORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2347 ROSSVILLE BLVD, CHATTANOOGA, TN 37408-2250
(423) 265-3122
(423) 265-2932
Mailing address
2347 ROSSVILLE BLVD, CHATTANOOGA, TN 37408-2250
(423) 265-3122
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
59107
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295830172
VOLUNTEER COMPREHENSIVE TREATMENT CENTER
TN
Enumeration date
11/03/2022
Last updated
11/03/2022
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