Most Relevant Information
Provider Data
| NPI Number: | 1003497876 |
| Provider Name: | SUMITRA PATEL CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-121908 |
Most Important Dates
| Enumeration Date: | 04/14/2021 |
| Last Updated: | 08/19/2021 |
Provider Practice Location
1002 BRINDLEY DR
PULASKI
TN
384784705
Practice Location Phone/Fax
| Phone: | 9313635438 |
| Fax: |
Provider Mailing Location
28555 BOYDS CHAPEL RD
ELKMONT
AL
356203454
Provider Mailing Phone/Fax
| Phone: | 2565665543 |
| Fax: |