Beulah Lane RN

NPI 1275819559 - Registered Nurse - 163W00000X

NPI Details
NPI 1275819559
Gender Female
Enumeration Date 10/31/2011
Last Updated 10/31/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
200 W FAIRVIEW AVE
JOHNSON CITY TN, 37604-5611, US
Phone (877) 928-9062
Fax (423) 467-3644
Business Location
1167 SPRATLIN PARK DR
GRAY TN, 37615-6205, US
Phone (423) 467-3600
Fax (423) 467-3644
Toxanomy
Taxonomy Code 163W00000X
License State Tennessee
License Number RN064030
Remove 1275819559 NPI Number
 

According to our database, Beulah Lane RN NPI is 1275819559, taxonomy code is 163W00000X and license number is RN064030, license state is located at Tennessee. Beulah Lane RN physically located at 200 W Fairview Ave, Johnson City TN, 37604-5611. NPI Number Beulah Lane RN has the Individual type.

Sponsored links

1275819559 NPI number is provided on an as is basis without warranty of any kind. 1275819559 is maintained by the National Plan & Provider Enumeration System. The contents of Beulah Lane RN are for informational purposes only.