Individual
PATRICIA LYNN ERCOLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2314 SAN LUCKI WAY, KNOXVILLE, TN 37909-4705
(865) 232-6465
Mailing address
2314 SAN LUCKI WAY, KNOXVILLE, TN 37909-4705
(865) 232-6465
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000050945
TN
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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