Individual
MRS. CAYLIN CERVETTI MOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
(615) 279-6700
(615) 279-6702
Mailing address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
(615) 279-6700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000212361
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10015446
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23302
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704416578
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033060
—
TN
Enumeration date
03/13/2016
Last updated
05/28/2024
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