Individual
ANGELA LANETTE GWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(615) 867-6000
Mailing address
PO BOX 463, CORNERSVILLE, TN 37047-0463
(419) 409-3117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.411332
OH
363L00000X
Nurse Practitioner
APRN.CNP.0036059
OH
363LF0000X
Family Nurse Practitioner
Primary
36212
TN
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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