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Organization
EVERGREEN NEPHROLOGY OF GOLDEN STATE PC
Active
Organization
EVERGREEN NEPHROLOGY OF GOLDEN STATE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY A. PFLEDERER MD (OWNER)
(309) 696-0683
Entity
Organization
Contact information
Practice address
315 DEADERICK ST STE 1140, NASHVILLE, TN 37238-3007
(833) 633-1290
Mailing address
315 DEADERICK ST STE 1140, NASHVILLE, TN 37238-3007
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
183500000X
Pharmacist
—
—
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/15/2023
Last updated
07/09/2026
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