Individual
MRS. TIFFANY GROSS LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2568 TVC, NASHVILLE, TN 37232-0001
(615) 322-6595
Mailing address
2561 TVC, VANDERBILT MEDICAL SPECIALTIES CLINIC, NASHVILLE, TN 37232-5999
(615) 343-0964
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
13335
TN
Other
Enumeration date
03/11/2008
Last updated
07/06/2012
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