Woodrome-Nethery, Tina Marie

Woodrome-Nethery, Tina Marie is an individual health care provider with primary practice located at 2205 Greentree N , Clarksville IN 47129. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Woodrome-Nethery, Tina Marie can be contacted via phone (812) 283-4441.

Contact Information

Primary practice address
2205 Greentree N Clarksville IN 47129
Phone: (812) 283-4441
Fax: (812) 288-2605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1105062 Kentucky

Profile Details

NPI number 1962759274
LBN Legal business name Woodrome-Nethery, Tina Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2012
Last updated Jun 4th, 2018 - about 7 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 1962759274 NPPES
Indiana MEDICAID 201213260
Indiana Other IN2570016

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