| NPI | 1245680008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN LAPORTE Practice Manager 865-258-9945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000017235) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |