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Individual

BRENDA M MUZYNGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3217 COVE LN, LOUISVILLE, TN 37777-3253
(865) 255-8186
Mailing address
463 1ST ST NW, CLEVELAND, TN 37311-1760
(423) 790-7662
(423) 790-7664

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24385
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27-3846243
TAX ID
TN
Enumeration date
06/29/2018
Last updated
06/29/2018
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