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Washington Ave Family Practice
Family Nurse Practitioner in Cookeville, Tennessee
NPI 1447449533

Washington Ave Family Practice is a Family Nurse Practitioner based in Cookeville, TN and is specialized in Family. Washington Ave Family Practice practices in Cookeville, TN. The NPI Number for Washington Ave Family Practice is 1447449533 and holds a License No. RN 93501 (Tennessee).

The current practice location address for Washington Ave Family Practice is 67 N Washington Ave, Cookeville, TN and can be reached out via phone at 931-526-4004 and via fax at 931-526-4014.

Location: 67 N Washington Ave, Cookeville, TN, 38503-0702
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Provider Profile Details
NPI Number
1447449533
Provider Name
Washington Ave Family Practice
Credential
Provider Entity Type
Organization
Address
67 N Washington Ave, Cookeville, TN, 38503-0702
Phone Number
931-526-4004
Fax Number
931-526-4014
Provider Enumeration Date
10/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3726167 01 TN MEDICARE GROUP PRICING
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Provider Business Practice Location Address Details
Address
67 N Washington Ave
City
State
Zip
38501-3371
Phone Number
931-526-4004
Fax Number
931-526-4014
person
Provider Business Mailing Address Details
Address
67 N Washington Ave
City
State
Zip
38501-3371
Phone Number
931-526-4004
Fax Number
931-526-4014
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN 93501 (Tennessee)
Definition
Definition to come...
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