Euphemia G Clower, LPN
Individual provider Active NPI Licensed Practical Nurse · Ten Mile, TN
NPI 1194476465 · NPPES record last updated Jan 18, 2022
Key facts
- NPI
- 1194476465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 30264 (TN)
- Practice address
- 1355 Dry Fork Valley Rd
Ten Mile, TN 37880-2016 - Phone
- (865) 679-3702
- NPI assigned
- Jan 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30264 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 30264 | TN | Yes |
Addresses
Primary practice location
1355 Dry Fork Valley Rd
Ten Mile, TN 37880-2016
Mailing address
1355 Dry Fork Valley Rd
Ten Mile, TN 37880-2016
Phone (865) 679-3702
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ERSP | Direct |
Other providers in Ten Mile, TN
All providers in Ten Mile, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.