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Individual

CYNTHIA TUCKER CANFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
252 CHEROKEE PROFESSIONAL PARK, MARYVILLE, TN 37804-5153
(865) 980-5200
(865) 982-5201
Mailing address
PO BOX 5777, MARYVILLE, TN 37802-5777
(865) 242-2104
(865) 246-2106

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12513
TN
363LF0000X
Family Nurse Practitioner
APN0000012513
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1516589
TN
Enumeration date
11/13/2006
Last updated
03/26/2018
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