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Individual provider Active NPI Electroneurodiagnostic Specialist/Technologist · Brentwood, TN

NPI 1366290637 · NPPES record last updated May 10, 2024

Key facts

NPI
1366290637
Entity type
Individual (NPI type 1)
Primary specialty
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
Practice address
3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Phone
(800) 348-4565
NPI assigned
May 10, 2024
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Yes

Addresses

Primary practice location

3 Maryland Farms Ste 200
Brentwood, TN 37027-5780

Mailing address

3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Phone (800) 348-4565

Other providers in Brentwood, TN

All providers in Brentwood, TN · Electroneurodiagnostic Specialist/Technologist in Tennessee

Sources for this page

Verify at the official NPI Registry.