Individual
JOHN BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-3309
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
61466
TN
363L00000X
Nurse Practitioner
APN0000005811
TN
363LF0000X
Family Nurse Practitioner
Primary
5811
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119813
UNISON
TN
05
—
3345751
—
TN
01
—
4049957
BCBS
TN
Enumeration date
06/10/2005
Last updated
04/19/2022
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