Individual
ANITA MCADOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4697 TARKINGTON DR, MEMPHIS, TN 38128-4713
(901) 602-2515
Mailing address
4697 TARKINGTON DR, MEMPHIS, TN 38128-4713
(901) 602-2515
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
59398
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001287569
LLC
TN
Enumeration date
02/25/2022
Last updated
02/25/2022
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