Individual
MRS. LIDA MOHAMMADKHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
530 GREAT CIRCLE RD, NASHVILLE, TN 37228-1309
(312) 262-2739
(312) 564-4059
Mailing address
9217 SYDNEY LN, BRENTWOOD, TN 37027-8153
(615) 969-7278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
94637
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
15233
TN
Other
Enumeration date
11/03/2010
Last updated
10/10/2016
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