Doctor Name: | DR. STEPHANIE CONDER |
NPI Number: | 1083942205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP, FNP-BC |
License Number: | RN0000128792 |
Business Practice Address: | 130 Independence Ln La Follette, TN - 377663031 |
Business Phone Number: | 4235621705 |
Business Fax Number: | |
Mailing Address: | 130 Independence Ln, LA FOLLETTE |
State: | TN |
Postal Code: | 377663031 |
Phone Number: | 4235621705 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2009 |
NPI Last Update Date: | 01/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | RN0000128792 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |