Advanced Health Care LLC
Clinic/Center, Multi-Specialty in Cookeville, TN. Organization (NPI-2).
NPI number1235711516
StatusActive
Last updated in NPPESDec 16, 2021
Details
- NPI
- 1235711516
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Health Care LLC
- Organization subpart
- No
- Enumeration date
- Apr 26, 2021
- Certification date
- Dec 16, 2021
- Last updated
- Dec 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
427 N Willow Ave Ste CCookeville, TN 38501-2354
Phone 931-650-0076
Mailing address
427 N Willow Ave Ste CCookeville, TN 38501-2354
Phone 931-650-0076 · Fax 833-992-2327
Authorized official
Zaid Brifkani
MD/Owner
9316500076
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