Individual
CHANILLE R WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2214
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
219447-30
WI
367A00000X
Advanced Practice Midwife
Primary
148942-32
WI
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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