Omnipresence Medical Services, Llc

NPI 1225274871 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1225274871
Enumeration Date 01/05/2009
Last Updated 01/05/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ANDRE ANDRE
Position CEO
Phone (901) 755-5900
Fax (901) 755-5987
Practice Location
9006 RIVER PINE DR
CORDOVA TN, 38016-7196, US
Phone (901) 755-5900
Fax (901) 755-5987
Business Location
9006 RIVER PINE DR
CORDOVA TN, 38016-7196, US
Phone (901) 755-5900
Fax (901) 755-5987
Toxanomy
Taxonomy Code 363L00000X
License State Tennessee
License Number 0200831850 NL
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According to our database, Omnipresence Medical Services, Llc NPI is 1225274871, taxonomy code is 363L00000X and license number is 0200831850 NL, license state is located at Tennessee. Omnipresence Medical Services, Llc physically located at 9006 River Pine Dr, Cordova TN, 38016-7196. NPI Number 1033115704 has the healthcare provider type.

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1225274871 NPI number is provided on an as is basis without warranty of any kind. 1225274871 is maintained by the National Plan & Provider Enumeration System. The contents of Omnipresence Medical Services, Llc are for informational purposes only.