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Tia Criscoe
Family Nurse Practitioner in Monterey, Tennessee
NPI 1184959066

Tia Criscoe is a Family Nurse Practitioner based in Monterey, TN and is specialized in Family. Tia Criscoe practices in Monterey, TN. The NPI Number for Tia Criscoe is 1184959066 and holds a License No. 170981 (Tennessee).

The current practice location address for Tia Criscoe is 410 W Crawford Ave, Monterey, TN and can be reached out via phone at 931-839-2244.

Location: 410 W Crawford Ave, Monterey, TN, 38574-1122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184959066
Provider Name
Tia Criscoe
Credential
Provider Entity Type
Individual
Gender
Female
Address
410 W Crawford Ave, Monterey, TN, 38574-1122
Phone Number
931-839-2244
Fax Number
Provider Enumeration Date
10/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
410 W Crawford Ave
City
Monterey
State
Tennessee
Zip
38574-1122
Phone Number
931-839-2244
Fax Number
person
Provider Business Mailing Address Details
Address
410 W Crawford Ave
City
Monterey
State
Tennessee
Zip
38574-1122
Phone Number
931-839-2244
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
163WC1500X
License No.
26656 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
170981 (Tennessee)
Definition
Definition to come...
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