Stephanie Audas
Individual provider Active NPI Licensed Practical Nurse · McMinnville, TN
NPI 1376919712 · NPPES record last updated Aug 20, 2015
Key facts
- NPI
- 1376919712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 69776 (TN)
- Practice address
- 3100 Crisp Springs Rd
McMinnville, TN 37110-5238 - Phone
- (931) 939-5045
- NPI assigned
- Aug 20, 2015
- 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 |
|---|---|---|---|
| 69776 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 69776 | TN | Yes |
Addresses
Primary practice location
3100 Crisp Springs Rd
McMinnville, TN 37110-5238
Mailing address
406 N Spring St
McMinnville, TN 37110-2134
Other providers in McMinnville, TN
- Frida Amoretti
- Jessica Stephanie Anderson
- Michael G. Andrews
- Sonya Melissa Armstrong
- Atlas Emergency Physicians, PLLC
- B P Ortho PC
- Back to Health
- Charlotte Bond Bailey
- Carrie Elaine Baines
- Jeanne Kay Ball
All providers in McMinnville, 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 Aug 20, 2015. 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.