Individual
MATTHEW WAHRENDORFF DEWEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2533
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
24754
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
24754
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008393300
—
FL
Enumeration date
03/05/2013
Last updated
06/21/2023
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