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NPI Code Detail

MEDICARE: LASHAY CHANTE TIRRI RN, FNP

MEDICARE: LASHAY CHANTE TIRRI RN, FNP
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
1163WC0200XCritical Care Medicine Registered Nurse1-144798AL
2363LF0000XFamily Nurse Practitioner1-144798AL

General Provider Information

NPI Number : 1376237503
Entity Type Code : Individual
Provider Name (Legal Business Name) : LASHAY CHANTE TIRRI RN, FNP
Provider Business Mailing Address
First Line : 2217 CARLETON DR SW
Second Line :
City : DECATUR
State : AL
Zip : 35603-1813
Country : US
Telephone Number : 256-309-1720
Fax Number :
Provider Business Practice Location Address
First Line : 1600 BROWNS FERRY RD
Second Line :
City : MADISON
State : AL
Zip : 35758-9601
Country : US
Telephone Number : 256-367-3924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2023
Last Update Date : 10/26/2023

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