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1508408956
STEPHANIE NIDIFFER
CHATTANOOGA, TN
NPI
1508408956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN 24120)
Enumeration Date
2019-10-16
Last Update Date
2019-10-16
Business Address
STEPHANIE NIDIFFER
3328 JENKINS RD STE 200
CHATTANOOGA, TN 37421-1298
Phone number: 865-274-7706
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Mailing Address
STEPHANIE NIDIFFER
7013 GENOA DR
CHATTANOOGA, TN 37421-5747
Phone number: 865-274-7706
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