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Search › Tennessee › 363LA2200X

Beverly Waddell, ANP, GCNS

NPI 1811161813 · on the registry since 2008

Practice

Address
105 W Stone Dr
Ste 5c
Kingsport, TN 37660
Phone
(423) 378-7645
Fax
(423) 392-3863
Organisation at this address
Resp-I-Care, Inc.
Holston Medical Group Pc
Holston Medical Group Pc
Holston Medical Group, Pc
Medical Mall Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
134

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
364SG0600X
163W00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-18

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