Individual
CARL STANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
391 WALLACE RD, NASHVILLE, TN 37211-4851
(844) 673-6968
Mailing address
3005 AMBROSE AVE, NASHVILLE, TN 37207-4709
(844) 673-6968
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000028461
TN
Other
Enumeration date
11/05/2020
Last updated
09/22/2022
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