Individual
AMANDA L DERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1313 21ST AVE SOUTH, 703 OXFORD HOUSE, NASHVILLE, TN 37232
(615) 936-0093
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 804-6149
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01071485A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201101500
—
IN
Enumeration date
03/31/2011
Last updated
03/30/2022
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