LISA NAZARENUS

PORTLAND, TN
NPI1225200306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  APN0000013230)
Enumeration Date2008-03-28
Last Update Date2008-03-28
Business Address
-- LISA NAZARENUS APN
307 S BROADWAY
PORTLAND, TN 37148
Phone number: 615-325-6755
Mailing Address
-- LISA NAZARENUS APN
307 S BROADWAY
PORTLAND, TN 37148
Phone number: 615-325-6755
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