Rosa Elena Amaya Molina

Individual provider Active NPI General Practice Registered Nurse · Sevierville, TN

NPI 1043000342 · NPPES record last updated May 9, 2025

Key facts

NPI
1043000342
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
284409 (TN)
Practice address
719 Middle Creek Rd
Sevierville, TN 37862-5016
Phone
(865) 453-1032
NPI assigned
May 9, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
284409TNMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 284409 TN Yes

Addresses

Primary practice location

719 Middle Creek Rd
Sevierville, TN 37862-5016

Mailing address

719 Middle Creek Rd
Sevierville, TN 37862-5016
Phone (865) 453-1032

Other providers in Sevierville, TN

All providers in Sevierville, TN · General Practice Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.