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NPI Profile for ELEANOR L SAN PEDRO in GERMANTOWN, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Care Medicine |
163WC0200X | |||
General Practice |
163WG0000X | |||
Medical-Surgical |
163WM0705X | |||
Registered Nurse |
163W00000X |
| NPI Number | 1063000727 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 01/07/2021 | |
| Last updated | 01/07/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ELEANOR L SAN PEDRO
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ELEANOR L SAN PEDRO, RN