Whalio Doctors

NPI 1023150109

Tanya Rae Light, BSNRN

Practitioner Registered Nurse Blountville, TN

Practice location

Address
154 Blountville Bypass, Blountville, TN 37617
Phone
(423) 279-2658
Mailing address
368a Shanks Rd, Blountville, TN 37617-6536

Registered specialties

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence RN0000154662 (TN)

Registry record

NPI
1023150109
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Feb 2007
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.