Evan Witherington PMHNP-BC

NPI 1205165651 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1205165651
Gender Male
Enumeration Date 12/14/2009
Last Updated 10/10/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
511 8TH ST
CLARKSVILLE TN, 37040-3093, US
Phone (931) 920-7200
Fax
Business Location
600 12TH AVE S APT 607
NASHVILLE TN, 37203-6632, US
Phone (615) 779-1995
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State Tennessee
License Number 15617
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According to our database, Evan Witherington PMHNP-BC NPI is 1205165651, taxonomy code is 363LP0808X and license number is 15617, license state is located at Tennessee. Evan Witherington PMHNP-BC physically located at 511 8th St, Clarksville TN, 37040-3093. NPI Number Evan Witherington PMHNP-BC has the Individual type.

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1205165651 NPI number is provided on an as is basis without warranty of any kind. 1205165651 is maintained by the National Plan & Provider Enumeration System. The contents of Evan Witherington PMHNP-BC are for informational purposes only.