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NPI Code Detail

MEDICARE: TONI ANDRADE

MEDICARE: TONI ANDRADE
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 Nurse229603TN
2363LA2100XAcute Care Nurse Practitioner907878MS
3363LA2100XAcute Care Nurse Practitioner39914TN

General Provider Information

NPI Number : 1619858644
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONI ANDRADE
Provider Business Mailing Address
First Line : 350 N HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2177
Country : US
Telephone Number : 901-226-4003
Fax Number : 901-227-8599
Provider Business Practice Location Address
First Line : 2120 EXETER RD STE 250
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-3931
Country : US
Telephone Number : 901-767-5864
Fax Number : 901-767-6591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2025
Last Update Date : 12/11/2025

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1710983259 — MICHAEL D WILONS M.D.
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1255535613 — RAVIS BEDNARICK CURRY M.D.
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Practice Fax: 901-767-6591
1831385780 — DR. OBAID UR REHMAN AWAN MD
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1609193093 — JULIA H BARTON M.D.
Practice Location Address:
2120 EXETER RD STE 250
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38138-3931
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1447565700 — MS. STEPHANIE DENISE LAMAR FNP
Practice Location Address:
2120 EXETER RD STE 250
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38138-3931
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Practice Fax: 901-767-6591

Directions to “ TONI ANDRADE ” Practice Location

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