Healthcare Provider Details
I. General information
NPI: 1982524856
Provider Name (Legal Business Name): AIMEE SERRANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1301 E MAIN ST
MURFREESBORO TN
37132-0002
US
IV. Provider business mailing address
5436 W 25TH ST FL 2
CICERO IL
60804-3314
US
V. Phone/Fax
- Phone: 615-898-2086
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: