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Individual

EMILY ROSE KUESER REBULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPAS, PA-C

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-8903
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3332
SC
363A00000X
Physician Assistant
Primary
5308
TN
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
1160863
SC

Other

Enumeration date
08/20/2019
Last updated
03/01/2023
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