Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 161439 | TN |
NPI | 1013518307 |
---|---|
Provider Name | Sheila Rosenfeld |
First Address | Murfreesboro, TN 37130-6642 |
Second Address | Murfreesboro, TN 37129-1392 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2020 |
Last Update Date | 04/11/2020 |