RAVEN MICHELLE HEATHERLY

OAK RIDGE, TN
NPI1417456203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  23818)
Enumeration Date2018-02-07
Last Update Date2018-08-08
Business Address
RAVEN MICHELLE HEATHERLY NP-C
90 VERMONT AVE STE 300
OAK RIDGE, TN 37830
Phone number: 865-481-2541
Mailing Address
RAVEN MICHELLE HEATHERLY NP-C
256 FORT SANDERS WEST BLVD STE 200
KNOXVILLE, TN 37922-3355
Phone number: 865-769-4500
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