Individual
MS. TRACI VALENCIA EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7000
(423) 778-8201
Mailing address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7000
(423) 778-8201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
08597
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639264575
HEALTH SYSTEM
TN
05
—
1639264575
—
TN
Enumeration date
03/08/2021
Last updated
03/08/2021
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