Haiden Edore NP-C

NPI 1306232491 - Nurse Practitioner - 363LP2300X

NPI Details
NPI 1306232491
Gender Female
Enumeration Date 04/15/2015
Last Updated 06/09/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2225 US HIGHWAY 41 N
TIFTON GA, 31794-2749, US
Phone (229) 391-4100
Fax
Business Location
907 18TH ST E
SUITE 150
TIFTON GA, 31794-3643, US
Phone (229) 391-4100
Fax (229) 776-9455
Toxanomy
Taxonomy Code 363LP2300X
License State Georgia
License Number RN210517
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According to our database, Haiden Edore NP-C NPI is 1306232491, taxonomy code is 363LP2300X and license number is RN210517, license state is located at Georgia. Haiden Edore NP-C physically located at 2225 Us Highway 41 N, Tifton GA, 31794-2749. NPI Number Haiden Edore NP-C has the Individual type.

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1306232491 NPI number is provided on an as is basis without warranty of any kind. 1306232491 is maintained by the National Plan & Provider Enumeration System. The contents of Haiden Edore NP-C are for informational purposes only.