Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | APN0000017963 | TN |
NPI | 1073956470 |
---|---|
Provider Name | Lindsey Ann Oldham |
First Address | Murfreesboro, TN 37128-2761 |
Second Address | Murfreesboro, TN 37128-2761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2013 |
Last Update Date | 11/12/2013 |