Individual
SUSAN M UTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 25TH AVE N, STE 100, NASHVILLE, TN 37203-1632
(615) 320-5090
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(615) 329-0570
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
68102
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3346732
—
TN
Enumeration date
10/23/2006
Last updated
01/25/2012
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