NPI 1487407995

Tara Brunson

Practitioner Driver Cordova, TN

Practice location

Address: 1560 Cedar Farms Cv, Cordova, TN 38016-6143
Phone: (901) 287-0704

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 080511698 (TN)

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Registry record

NPI: 1487407995
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Apr 2024
Record last updated: 8 Apr 2024

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.