Individual
HELENE ANGELINE FODRA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
515 STONECREST PKWY STE 100, SMYRNA, TN 37167-6827
(615) 223-7227
Mailing address
515 STONECREST PKWY STE 100, SMYRNA, TN 37167-6827
(615) 223-7227
(615) 891-5002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26716
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q053705
—
TN
Enumeration date
10/21/2019
Last updated
12/26/2024
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