Doctor Name: | CORI CARMICHAEL |
NPI Number: | 1447644513 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 180162 |
Business Practice Address: | 1333 Georgetown Dr Old Hickory, TN - 371381679 |
Business Phone Number: | 6158739966 |
Business Fax Number: | |
Mailing Address: | 1333 Georgetown Dr, OLD HICKORY |
State: | TN |
Postal Code: | 371381679 |
Phone Number: | 6158739966 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2015 |
NPI Last Update Date: | 03/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | 180162 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |