SearchTennessee225200000X

An Ha

NPI 1740195122 · on the registry since 2026 · sole proprietor

Practice

Address
9567 Mallard Lake Rd
Collierville, TN 38017
Phone
(901) 337-4391

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee