Individual
MS. MARY ELIZABETH BACIGALUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCRN, ACNP, APRN
Contact information
Practice address
4220 HARDING PIKE, NASHVILLE, TN 37205-2005
(615) 222-4097
(615) 222-3687
Mailing address
4220 HARDING PIKE, NASHVILLE, TN 37205-2005
(615) 222-4097
(615) 222-3687
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5549P
KY
363LA2200X
Adult Health Nurse Practitioner
APN13258
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000562599
ANTHEM BCBS
KY
05
—
7100043830
—
KY
Enumeration date
03/14/2008
Last updated
08/11/2009
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