Individual
ERIN GRACE LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1206 HIGHWAY 411, VONORE, TN 37885-2455
(423) 884-7271
(423) 884-3277
Mailing address
PO BOX 278, MADISONVILLE, TN 37354-0278
(423) 442-2622
(423) 442-5760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
182209
TN
363L00000X
Nurse Practitioner
22106
TN
363LF0000X
Family Nurse Practitioner
Primary
22106
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13942782
CAQH
TN
05
—
Q025836
—
TN
Enumeration date
12/14/2016
Last updated
03/17/2018
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