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Individual

ELIZABETH BACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-3000
(615) 936-0605
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5048

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
32560
TN
363LA2100X
Acute Care Nurse Practitioner
32560
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
32560
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q078956
TN
Enumeration date
09/16/2022
Last updated
07/14/2025
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