Individual
NICOLE SIYEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 HAVENBROOK DR, NASHVILLE, TN 37207-2651
(240) 899-3479
Mailing address
3035 SAPGATE LN, NASHVILLE, TN 37207-3084
(240) 899-3479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000248999
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000031474
TN
Other
Enumeration date
08/20/2021
Last updated
06/08/2023
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