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1649813346
CARRIE RENEE WIDENER
BRISTOL, TN
NPI
1649813346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 26733)
Enumeration Date
2019-10-25
Last Update Date
2020-04-03
Business Address
Mrs. CARRIE RENEE WIDENER FNP-C
1 MEDICAL PARK BLVD STE 300E
BRISTOL, TN 37620-7497
Phone number: 423-844-6450
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Mailing Address
Mrs. CARRIE RENEE WIDENER FNP-C
1 MEDICAL PARK BLVD STE 300E
BRISTOL, TN 37620-7497
Phone number: 423-844-6450
Copy
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