Individual
CYNTHIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1670
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
45141
KS
363LF0000X
Family Nurse Practitioner
Primary
30588
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161538
MEDICARE PTAN
KS
05
—
200035910C
—
KS
Enumeration date
11/13/2006
Last updated
11/09/2022
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