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Individual

EMILY R LIDDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3444 PLAZA AVE, MEMPHIS, TN 38111-4614
(901) 730-4204
Mailing address
PO BOX 140781, MEMPHIS, TN 38114-0781

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
225733
TN
363LF0000X
Family Nurse Practitioner
Primary
2023059479
TN

Other

Enumeration date
04/27/2023
Last updated
10/20/2023
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