Alta Ruth Ebert, 0000012626
Nurse Practitioner, Family in Chattanooga, TN. Individual provider (NPI-1).
NPI number1124214101
StatusActive
Last updated in NPPESMar 16, 2016
Details
- NPI
- 1124214101
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alta Ruth Ebert
- Credential
- 0000012626
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2007
- Last updated
- Mar 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0000012626 | TN | Yes |
Practice location
730 E 11th StChattanooga, TN 37403-3103
Phone 423-265-5708
Mailing address
730 E 11th StChattanooga, TN 37403-3103
Phone 423-265-5708
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