NPI | 1538517750 |
---|---|
Other Name | TENNESSE |
Entity Type | Organization |
Authorized Contact | ASHLEY OAKS Operations Specialist 860-787-7416 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
Enumeration Date | 2016-05-27 |
Last Update Date | 2016-05-27 |