Dedrea Attaway, LPN is a
Licensed Vocational Nurse based in Clarksville, Tennessee. Dedrea Attaway is licensed to practice in Texas (license number 322770) and her current practice location is
330 Pageant Ln, Clarksville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 648-5747.
NPI number for Dedrea Attaway is 1659738235 and her current mailing address is 3864 Mackenzie Dr, Clarksville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659738235.
Provider's Profile
| Full Name | Dedrea Attaway |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 330 Pageant Ln, Clarksville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659738235
- Provider Enumeration Date: 01/27/2016
- Last Update Date: 01/27/2016
Medical Identifiers
Medical identifiers for Dedrea Attaway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659738235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 322770 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dedrea Attaway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dedrea Attaway, LPN
3864 Mackenzie Dr,
Clarksville, TN 37042-8640
Ph: (270) 839-8624 | Dedrea Attaway, LPN
330 Pageant Ln,
Clarksville, TN 37040-3854
Ph: (931) 648-5747 |
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