Individual
TERESA L SHORT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FT CAMPBELL, KY 42223-5349
(270) 798-8706
(270) 956-0211
Mailing address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FT CAMPBELL, KY 42223-5349
(270) 798-8706
(270) 956-0211
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
50285
TN
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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