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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY ITTNER

Active Sole Proprietor

MARY ITTNER is a Military General Acute Care Hospital - Operational healthcare provider located in CLARKSVILLE, Tennessee. NPI 1750571261 is currently active in the NPPES registry. Verify at CMS.

Military General Acute Care Hospital - Operational · CLARKSVILLE, TN

Registration Details

NPI Number
1750571261
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2007 (19.082538783387 yrs)
Last Updated
Sep 28, 2009
License
R024183 (SD)
Sole Proprietor
Yes

Practice Information

Address
1002 HILLSHIRE DR
CLARKSVILLE, TN, 370432106
Browse TN providers · Browse ZIP 37043
Phone
6052542678
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.