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NPI Code Detail

MEDICARE: EMILY R LAIRD FNP

MEDICARE: EMILY R LAIRD 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
1363L00000XNurse PractitionerA810030MS
2363LF0000XFamily Nurse PractitionerAPN05604TN
3363LG0600XGerontology Nurse PractitionerAPN5604TN
4363LG0600XGerontology Nurse PractitionerA810030MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00817628OTHERTNRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
24234061OTHERTNBCBS OF TN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770532582
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY R LAIRD FNP
Provider Business Mailing Address
First Line : 9155 CRESTWYN HILLS DR
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-8501
Country : US
Telephone Number : 901-261-4848
Fax Number : 901-261-4867
Provider Business Practice Location Address
First Line : 9155 CRESTWYN HILLS DR
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-8501
Country : US
Telephone Number : 901-261-4848
Fax Number : 901-261-4867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 03/24/2017

Similar Medicare Providers

1003892951 — MS. CAROL W SIMMONS RN,FNP,APN
Practice Location Address:
9155 CRESTWYN HILLS DR
MEMPHIS, TN
38125-8501
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Practice Fax:
1700982204 — MRS. REBECCA H ADKINS FNP
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1184854473 — TENNESSEE PHS PC
Practice Location Address:
9155 CRESTWYN HILLS DR
MEMPHIS, TN
38125-8501
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Practice Fax: 901-261-4867
1386966943 — OHIO PHS LLC
Practice Location Address:
9155 CRESTWYN HILLS DR
MEMPHIS, TN
38125-8501
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Practice Fax: 901-261-4849
1902128564 — OKLAHOMA PHS LLC
Practice Location Address:
9155 CRESTWYN HILLS DR
MEMPHIS, TN
38125-8501
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Practice Fax: 901-261-4849
1871802082 — NEW MEXICO PHS LLC
Practice Location Address:
9155 CRESTWYN HILLS DR
MEMPHIS, TN
38125-8501
Practice Phone: 901-261-4848
Practice Fax: 901-261-4849

Directions to “ EMILY R LAIRD FNP” Practice Location

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