# VANDERBILT MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164609319
- **Authorized official:** MRS. DEANA VANDIVIER (CRNA)
- **Authorized official phone:** (615) 936-0027

## Contact information

- **Practice address:** 2200 CHILDRENS WAY, NASHVILLE, TN 37232-0034
- **Practice address phone:** (615) 936-0027
- **Mailing address:** 2200 CHILDRENS WAY, NASHVILLE, TN 37232-0005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | 078178 | TN | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 02/08/2008