Keith, Andria Michelle

Keith, Andria Michelle is an individual health care provider with primary practice located at 302 N Congress Blvd , Smithville TN 37166-2704. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Keith, Andria Michelle can be contacted via phone (615) 597-4395.

Contact Information

Primary practice address
302 N Congress Blvd Smithville TN 37166-2704
Phone: (615) 597-4395
Fax: (615) 597-5075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21466 Tennessee

Profile Details

NPI number 1740733633
LBN Legal business name Keith, Andria Michelle
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2016
Last updated Jul 27th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740733633 NPPES
Tennessee Other 21466 APN STATE LICENSE NUMBER

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