Individual
BETH HAMMONTREE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
435 2ND ST, NEWPORT, TN 37821-3703
(865) 985-7234
(865) 636-4064
Mailing address
1431 CENTERPOINT BLVD, KNOXVILLE, TN 37932-1984
(865) 985-7234
(865) 636-4064
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12110
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12110
TENNESSEE LICENSE
TN
Enumeration date
01/11/2007
Last updated
07/08/2007
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