Tracy Andel

Individual provider Active NPI Community Health Registered Nurse · Madisonville, TN

NPI 1487043568 · NPPES record last updated Jan 13, 2015

Key facts

NPI
1487043568
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
RN0000125184 (TN)
Practice address
3469 North Highway 68
Madisonville, TN 37354
Phone
(423) 442-3993
NPI assigned
Jan 13, 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

LicenseStateTypeSpecialty
RN0000125184TNMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN0000125184 TN Yes

Addresses

Primary practice location

3469 North Highway 68
Madisonville, TN 37354

Mailing address

3469 North Highway 68
P.O. Box38
Madisonville, TN 37354
Phone (423) 442-3993

Other providers in Madisonville, TN

All providers in Madisonville, TN · Community Health Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.