Individual
CLARISSA LEE DUMDEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
926 MAIN ST, NASHVILLE, TN 37206-3614
(615) 436-9060
(615) 235-9725
Mailing address
926 MAIN ST, NASHVILLE, TN 37206-3614
(615) 436-9060
(615) 235-9725
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP1430
MN
363LG0600X
Gerontology Nurse Practitioner
CNP1430
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881988624
—
MN
Enumeration date
06/08/2011
Last updated
03/21/2024
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