Harrogate Family Practice

NPI 1417119595 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1417119595
Enumeration Date 06/30/2008
Last Updated 07/29/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name AMANDA AMANDA
Position OWNER
Phone (423) 869-3332
Fax (423) 869-2064
Practice Location
6976 CUMBERLAND GAP PKWY
HARROGATE TN, 37752-8230, US
Phone (423) 869-3332
Fax (423) 869-2064
Business Location
6976 CUMBERLAND GAP PKWY
HARROGATE TN, 37752-8230, US
Phone (423) 869-3332
Fax (423) 869-2064
Toxanomy
Taxonomy Code 363L00000X
License State Tennessee
License Number APN0000007778
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According to our database, Harrogate Family Practice NPI is 1417119595, taxonomy code is 363L00000X and license number is APN0000007778, license state is located at Tennessee. Harrogate Family Practice physically located at 6976 Cumberland Gap Pkwy, Harrogate TN, 37752-8230. NPI Number 1033115704 has the healthcare provider type.

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1417119595 NPI number is provided on an as is basis without warranty of any kind. 1417119595 is maintained by the National Plan & Provider Enumeration System. The contents of Harrogate Family Practice are for informational purposes only.