Amy Rebecca Cudmore
Nurse Practitioner - Primary Care
1453 Hope Way
Murfreesboro
, Tennessee 37129-3140
Amy Rebecca Cudmore
Nurse Practitioner - Primary Care
1453 Hope Way
Murfreesboro
, Tennessee 37129-3140
(615) 893-9390
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Amy Rebecca Cudmore
- 1453 Hope Way
- Murfreesboro, TN
- Zip : 37129-3140
- Phone : (615) 893-9390
Second Address
- Amy Rebecca Cudmore
- 1453 Hope Way
- Murfreesboro, TN
- Zip : 37129-3140
- Phone : (615) 893-9390
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 1154763 | TN |
National Provider Identifier
| NPI | 1043773559 |
|---|---|
| Provider Name | Amy Rebecca Cudmore |
| First Address | Murfreesboro, TN 37129-3140 |
| Second Address | Murfreesboro, TN 37129-3140 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2019 |
| Last Update Date | 29/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 441934 | PART A (01) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.