Individual
ROATHIPOUN PO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2020
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5048
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
188273
TN
363LA2100X
Acute Care Nurse Practitioner
28231
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
28231
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q061916
—
TN
Enumeration date
09/01/2020
Last updated
07/24/2025
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