Most Relevant Information
Provider Data
| NPI Number: | 1003406109 |
| Provider Name: | SHONDA TORMOHLEN APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APN0000028633 |
Most Important Dates
| Enumeration Date: | 01/22/2021 |
| Last Updated: | 01/22/2021 |
Provider Practice Location
108 E LAUDERDALE ST
TULLAHOMA
TN
373884508
Practice Location Phone/Fax
| Phone: | 4233099650 |
| Fax: |
Provider Mailing Location
4594 TURKEY CREEK RD
WILLIAMSPORT
TN
384872124
Provider Mailing Phone/Fax
| Phone: | 4047841900 |
| Fax: |