Underwood, Tricia W

Underwood, Tricia W is an individual health care provider with primary practice located at 9330 Park West Blvd Ste 402 , Knoxville TN 37923-4312. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Underwood, Tricia W can be contacted via phone (865) 690-3003.

Contact Information

Primary practice address
9330 Park West Blvd Ste 402 Knoxville TN 37923-4312
Phone: (865) 690-3003
Fax: (865) 374-2143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN6682 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6682 Tennessee

Profile Details

NPI number 1285639369
LBN Legal business name Underwood, Tricia W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 23rd, 2020 - about 4 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 1285639369 NPPES
Tennessee MEDICAID Q019387

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