Individual
OO MEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 CHARLOTTE AVE, NASHVILLE, TN 37209-4129
(615) 340-5616
Mailing address
2500 CHARLOTTE AVE, NASHVILLE, TN 37209-4129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
264307
TN
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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