Breeding, Andrea

Breeding, Andrea is an individual health care provider with primary practice located at 111 Station Dr , Maryville TN 37804-4190. 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. Breeding, Andrea can be contacted via phone (865) 982-7101.

Contact Information

Primary practice address
111 Station Dr Maryville TN 37804-4190
Phone: (865) 982-7101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN38024 Tennessee

Profile Details

NPI number 1134145121
LBN Legal business name Breeding, Andrea
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 1st, 2010 - about 16 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 1134145121 NPPES
Tennessee MEDICAID 3342442
Tennessee Other 500014361

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