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1326815622
DANIELLE RAVEN PENDER
BRISTOL, TN
NPI
1326815622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 35159)
Enumeration Date
2023-12-06
Last Update Date
2024-01-01
Business Address
DANIELLE RAVEN PENDER FNP
271 MEDICAL PARK BLVD
BRISTOL, TN 37620-7455
Phone number: 423-274-8600
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Mailing Address
DANIELLE RAVEN PENDER FNP
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-302-6565
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