Organization
VANDERBILT INTEGRATED PROVIDERS, LLC
Active
Organization
VANDERBILT INTEGRATED PROVIDERS, LLC
Active
Other names
Vanderbilt Pediatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY MONACI (VICE PRESIDENT)
(615) 936-3944
Entity
Organization
Contact information
Practice address
4235 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-9339
(270) 560-0075
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
03/08/2021
Last updated
03/31/2022
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