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Organization

VANDERBILT INTEGRATED PROVIDERS

Active
Parent organization
VANDERBILT INTEGRATED PROVIDERS, LLC
Other names
Pediatric Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
VANDERBILT INTEGRATED PROVIDERS, LLC
Authorized official
WENDY MONACI (VICE PRESIDENT)
(615) 936-3944
Entity
Organization

Contact information

Practice address
1440 CEDAR LN, TULLAHOMA, TN 37388-2485
(615) 393-7056
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5048

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LP0200X
Pediatric Nurse Practitioner
Primary
3002428
KY
363LP0200X
Pediatric Nurse Practitioner
3004549
KY
363LP0200X
Pediatric Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78900800
KY
05
Q063257
TN
Enumeration date
03/09/2007
Last updated
06/29/2026
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