Individual
TY TAUBENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
961 OAK RIDGE TPKE, OAK RIDGE, TN 37830-8832
(865) 690-4861
(865) 483-3807
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28201
TN
Other
Enumeration date
10/12/2020
Last updated
04/30/2024
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