Organization
R-EVOLUTION HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH L VANTREASE FNP (MANAGER/OWNER/FNP-C)
(615) 808-1122
Entity
Organization
Contact information
Practice address
1346 PLEASANT GROVE RD, WESTMORELAND, TN 37186-2142
(615) 808-1122
Mailing address
1346 PLEASANT GROVE RD, WESTMORELAND, TN 37186-2142
(615) 374-1484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
03/18/2021
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