Tudor, Donna E

Tudor, Donna E is an individual health care provider with primary practice located at 482 Interstate Dr Ste A, Manchester TN 37355-3109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tudor, Donna E can be contacted via phone (931) 728-4718.

Contact Information

Primary practice address
482 Interstate Dr Ste A Manchester TN 37355-3109
Phone: (931) 728-4718
Fax: (931) 728-1016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN61229 Tennessee

Profile Details

NPI number 1467489500
LBN Legal business name Tudor, Donna E
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 1st, 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 1467489500 NPPES
Tennessee MEDICAID 3730155
Tennessee Other 4107892

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