CARRIE RENEE WIDENER

BRISTOL, TN
NPI1649813346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  26733)
Enumeration Date2019-10-25
Last Update Date2020-04-03
Business Address
MRS. CARRIE RENEE WIDENER FNP-C
1 MEDICAL PARK BLVD STE 300E
BRISTOL, TN 37620-7497
Phone number: 423-844-6450
Mailing Address
MRS. CARRIE RENEE WIDENER FNP-C
1 MEDICAL PARK BLVD STE 300E
BRISTOL, TN 37620-7497
Phone number: 423-844-6450