Individual
CORRY TRANAS MAZERAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3950 NEW COVINGTON PIKE, SUITE 110, MEMPHIS, TN 38128
(901) 387-2900
(901) 384-1645
Mailing address
3950 NEW COVINGTON PIKE STE 110, MEMPHIS, TN 38128-2595
(901) 387-2900
(901) 384-1645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7756
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518458
—
TN
Enumeration date
07/11/2006
Last updated
08/17/2018
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