Balanced Naturally, Llc

NPI 1093132755 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1093132755
Enumeration Date 03/19/2014
Last Updated 03/19/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DAVID M DAVID
Position CLINIC OWNER
Phone (901) 756-2424
Fax (901) 756-7504
Practice Location
7730 WOLF RIVER BLVD
SUITE 112
GERMANTOWN TN, 38138-1708, US
Phone (901) 756-2424
Fax (901) 756-7504
Business Location
7730 WOLF RIVER BLVD
SUITE 112
GERMANTOWN TN, 38138-1708, US
Phone (901) 756-2424
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Tennessee
License Number 16459
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According to our database, Balanced Naturally, Llc NPI is 1093132755, taxonomy code is 363L00000X and license number is 16459, license state is located at Tennessee. Balanced Naturally, Llc physically located at 7730 Wolf River Blvd, Germantown TN, 38138-1708. NPI Number 1033115704 has the healthcare provider type.

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1093132755 NPI number is provided on an as is basis without warranty of any kind. 1093132755 is maintained by the National Plan & Provider Enumeration System. The contents of Balanced Naturally, Llc are for informational purposes only.