Gaylord, Nan M.

Gaylord, Nan M. is an individual health care provider with primary practice located at 220 Langland St , Knoxville TN 37915-1415. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Nursing Service Providers / Registered Nurse is her primary health care specialty. Gaylord, Nan M. can be contacted via phone (865) 594-5078.

Contact Information

Primary practice address
220 Langland St Knoxville TN 37915-1415
Phone: (865) 594-5078
Fax: (865) 594-3921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN0000044603 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN0000005409 Tennessee

Profile Details

NPI number 1013911007
LBN Legal business name Gaylord, Nan M.
Credentials PHD, RN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Aug 3rd, 2011 - about 15 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 1013911007 NPPES
Tennessee MEDICAID 3497038

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