Provider Demographics
NPI:1497581581
Name:EMPOWERED HEALTH WOUND AND FOOT CARE LLC
Entity type:Organization
Organization Name:EMPOWERED HEALTH WOUND AND FOOT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATH
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:TUNNELL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:865-740-9361
Mailing Address - Street 1:7365 BEECH MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-5180
Mailing Address - Country:US
Mailing Address - Phone:865-740-9361
Mailing Address - Fax:865-800-8923
Practice Address - Street 1:7365 BEECH MEADOW LN
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-5180
Practice Address - Country:US
Practice Address - Phone:865-740-9361
Practice Address - Fax:865-800-8923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty