Individual
CHARLOTTE BISANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 MARYLAND WAY, BRENTWOOD, TN 37027-1005
(615) 913-4290
Mailing address
145 GALE PARK LN, NASHVILLE, TN 37204-2962
(954) 415-4770
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN0000021142
TN
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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