MS. Tequila J Staten, APRN
NPI #1043549918 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1043549918
- Entity Type
- Individual
- Name
- MS. Tequila J Staten, APRN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APRN
- Enumeration Date
- Dec 23, 2009
- Last Updated
- Apr 4, 2019
Practice Location
- Address
- 5796 NASHVILLE RD
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42101
- Phone
- (270) 781-6477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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