Individual
MS. TANYA K. BOURDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(913) 648-5747
Mailing address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(913) 648-5747
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
47700
KY
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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