Robert Decolli III, CRNP
NPI #1558993279 in Germantown, Tennessee
Provider Information
- NPI Number
- 1558993279
- Entity Type
- Individual
- Name
- Robert Decolli III, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CRNP
- Enumeration Date
- Feb 11, 2020
- Last Updated
- Jan 16, 2024
Practice Location
- Address
- 7460 WOLF RIVER BLVD
- City
- Germantown
- State
- Tennessee
- ZIP Code
- 38138-1760
- Phone
- (901) 763-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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