Individual
MAQUIA MASSIRIE HALL-BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3129 WESTCHESTER DR, CLARKSVILLE, TN 37043-3804
(708) 359-5472
Mailing address
3129 WESTCHESTER DR, CLARKSVILLE, TN 37043-3804
(708) 359-5472
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
0219037
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN0000091074
NURSING LICENSE
TN
Enumeration date
02/22/2019
Last updated
02/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us