NPI 1023150109
Tanya Rae Light, BSNRN
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
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.