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NPI Code Detail

MEDICARE: MELISSA MARIE HASTINGS REGISTERED NURSE

MEDICARE:   MELISSA MARIE HASTINGS  REGISTERED NURSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse0000201656TN

General Provider Information

NPI Number : 1336648534
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MARIE HASTINGS REGISTERED NURSE
Provider Business Mailing Address
First Line : 108 DAVID COLLINS DR
Second Line :
City : SMYRNA
State : TN
Zip : 37167-2813
Country : US
Telephone Number : 615-355-6175
Fax Number :
Provider Business Practice Location Address
First Line : 108 DAVID COLLINS DR
Second Line :
City : SMYRNA
State : TN
Zip : 37167-2813
Country : US
Telephone Number : 615-355-6175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2018
Last Update Date : 03/17/2018

Similar Medicare Providers

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Directions to “ MELISSA MARIE HASTINGS REGISTERED NURSE” Practice Location

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