Individual
MR. BOBBY PATRICK AGUAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
118 HWY 70 E, SUITE 6, DICKSON, TN 37055-7039
(615) 810-8440
(615) 810-8441
Mailing address
118 HWY 70 E, SUITE 6, DICKSON, TN 37055-7039
(615) 810-8440
(615) 810-8441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13099
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514542
—
TN
01
—
3720916
MEDICARE
TN
Enumeration date
12/05/2007
Last updated
12/27/2010
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