Individual
MRS. NASTASSIA LARIE ECHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 901-5462
Mailing address
2865 EXECUTIVE DR, MEMPHIS, TN 38115-1811
(901) 590-9886
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
243898
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243898
RN LICENSE NUMBER
TN
Enumeration date
05/09/2021
Last updated
05/09/2021
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