Individual
MARY K ELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
228 N MAIN ST, SUITE 2, GREENEVILLE, TN 37745-5033
(423) 639-2161
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10472
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00391974
RR MEDICARE PIN
TN
Enumeration date
10/02/2006
Last updated
05/02/2008
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